1981, 02-09 Permit 81A-1293 PorchPLAN NUMBER
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
JOB ADDRESS
LOT
BLOCK
OW EFL
3. nAftL (
SUtiUIVISIUN
e�A7DDRESS � " �- f
, // 71, 5.-1P-14Lz; s4 4 /YtiliL—
CONTRACTOR
ADDRESS
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
IA NEW
❑ BLD.
❑ ALT.
❑ PLMB.
PHONE
ZIP hh
PHONE
ZIP
PHONE
ZIP
TO
14 AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S �/ ,t•,/[
,E y d6 ko7' i�'YV,c3 KL fiRAINoV/.EIVACkl S
Actual Set Backs in Feet
North 1,j .7 / 'South ' '
Size of Parcel
[East /'
/
West 47
Zone Classification r
Type Const.
nation
Vr6-76 as
Main Floor
Occupancy
R
IUpper Floors
Area of Decks
Sprinklered
DYes DNo ❑ Req'd.
Building Area In Sq. Ft.
/ 1
Garage Area I Storage
F'nished Basement Unfin. Basement
y
Liam
lean -
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
DESCRIBE WORK
8. L,4-1242/t-cam
VALUATION
SOURCE
OF
UTILITIES
GAS ELECTRIC (19W-p4C/ER I SEWER
Enum. Dist.
Location (Area)
Ownership
Public 0 Private tiO
USE CODE
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
X'% f/- ‘/°•''e
DATE OF APPLICATION o . 9 '% SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
74.4- flew .41 •agccowl
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Req'd.
FEES COLLECTED
Single $
o0
Building /l
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ //' —
PERMIT NIJMBErt
02* *11.00
* 1 1.00 t5
129.2
02-09-81
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO. TOTAL
129,3• 'Z *11.0.0 Q 0 -
TN
J
,Ex srru$
PROP 5P
Apoir/ rd
TRENT A Y,E