1981, 07-30 Permit 81A-7626 Siding, Fascia, Gutter(PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBER
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
E.R3
LOT
B OCK
aLJnUIvui(IN
OWNER
3 l,�-} (� (curd c . Be e ckQr
A RE$$ 3 / 1 „r J^ I's f Ibi
ORT
a. �' eo+�6 Conk .
ADDRESS
NC 3106 cL
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
D�CRIBE WORK
8. r G2C/
VALUATION
9. 5
❑ ALT.
❑ PLMB.
SOUR
OF
UTI LITI ES
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
ELECT, IC
PHONE
❑ MVE.
❑ POOL
WATER
OTHER
SEWER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
O064).3 aka
Size of Parcel
Area of Decks
Zone Classification
Building Area In Sq. Ft.
Garage Area
Storage
Finished Basement Unfin. Basement
No. Baths I No. Stories
CERTIFICATE
of EXEMPTION
Ownership
Public ❑ Private ❑
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
lrE OF APPLICATION
f
SIGNATURE OF APPLICANT
No. Rooms INo. of Dwellings
Req'd. Rec'd.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technic
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABI '
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Req'd.
FEES COLLECTED
Single $ 56 .0o
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ ' °v
02* *5600
*56.00
*56006
A *0.00
76252
07-30-81
6479, _
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
i
-O;7i1 ;131 a.`_i8,1 i
DATE ISSUED
762.6 )56.O,Oa-
PERMIT NO. TOTAL