1981, 03-17 Permit 81A-2493 Deck, CoverPLAN NUMBER
3/i 7/ g/
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456.3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
3
JOB ADDRESS
c_% 0
LOT BLOCK
•.
0 NE
3
SUB VISION
N i/l,E l� A: D c) F ,C9 ,Le 74.
A DRESS
CONTRACTOR
ADpRESS
SJY ;we_
DESIGNER
o_mot%{_i" ..o
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
4 NEW
�BLD.
❑ ALT.
❑ PLMB.
PHONE
26 — 8 66
ZIP
gg037
PHONE
ZIP
PHONE
ZIP
TO
Il AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S �`.5-iL/_ / 4.96,'
Actual Set Backs in Feet
North 4/0 ' 'South `t" 4
Size of Parcel
Type Const.
Occupancy
/
East West
Zone Classification
r>6)/R., c'.(
Sprinklered
❑Yes Ohio ❑ Req'd.
Building Area ..,C:I,n Sq. Ft.
•
VaIu tion
' 1, 04
'Main Floor
Upper Floors
Area of Decks
derd
No. Baths
Garage Area
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Storaq_
Unfin. Basement
No. Rooms
Req'd.
DESCRIBE WORK ,Q I G
8. t,�tO/ ff/- fJy l-lf' . Gt� n �J G��%"cur' ,n_"c/.� �t 2tir_ t'k.
�,c�VALUATION SOU CEOF
GAS ELECTRIC WATER SEWER
97TDf> UTILITIES
Enum. Dist.
Location (Area)
Ownership -
Public 0 Private 04
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
DATE OF APPLICATION 3 --/ 7 - '/
SIGNATURE OF APPLICANT ' :277GC..A.�
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Ut lines
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
5 U/
,1.F_.C-1.0 !ti / m'- CI 146R
No. of Dwellings
Rec'd. NotXXReq'd.
FEES COLLECTED
Single $
Building //
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL
e
PERMIT NUMBER
d 1
/A-;
0.2 *
* 11.00
* 11.00
249,22
03- 1 7-8;1
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Buipiling/Tectwucia
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
.01 171.1 it 81'1' 2 4 9, j' .
DATE ISSUED PERMIT NO.
1.1.0•0 °a 1- —
TOTAL
sutik VA,yi J iA/