1982, 12-08 Permit: 82B-1732 ReroofPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
3
STREET ADDRESS
.qt3 1'
BLOCK
LOT
OWNER
I� BIKE � �nioA
SUBDIVISION
-1144-LN tto Aro "CD VSza.. 1.4$
1�'.7ri_Jh47t1�}
PHONE
PHONE
CtEfe,'Z
MAILING ADDRESS
��-
‘61.1-5
CONTRACTOR
4. Lows vi.kQ
ADDRESS
ZIP
ZqG
PARCEL NO.
23543 -- 0501
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North (South
East
West
LICENSE EXPIRES
PHONE
It
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
IResidential 0
Commercial 0
Sprinklered
❑Yes ❑No ❑Req'd.
5.
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
PHONE
ZIP
TO
TYPE ❑ NEW ❑ ALT. ❑ AD' N.
7. OF
WORK COLD. ❑ PLMB. 0 MECH.
trJ RPL.
❑ M.H.
DESCRIBE WORK
VALUATION SOURCE
91.
1,00Z7 UTILITIES
GAS
i
ELECTRIC
0 MVE.
❑ POOL
WATER
PUBLIC ❑
PRIVATE ❑
0 OTHER
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
Main Floor
Upper Floors
Garage/Storage
Greenhouse
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certlf 1. of Exempt.
or Variance
Required
Received
Yes❑ No❑
Ye❑ No❑
Number
SEWAGE
SEPTIC ❑
SEWER 0
Shorelines/Flood Hazard
Yes❑ Not Applic. ❑
Ownership
Public ❑ Private 0
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 au-
thority to violate or cancel the provisions of any other tate or local law regulating construction or the performance
of construction. SEE REV RSE SID FOR ;,-! UIRUIR_5 INSPECTIONS
SIGNATURE OF OWNER OR GEN• �1/1�/%7r�f/ DATE
SPECIAL APPROVALS SPECIAL CON • ITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
1%.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Required ❑1'4,
Received ❑
FEES COLLECTED
Building A Zc7•GC,
Plumbing
Mech.
Plan Check
SEPA
Modular!
MFG. Home
Other (Specify)
TOTAL 3_"_
PERMIT NUMBER
-
02* *2000
*20008
A *000 E9
173.18
1'2-08-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE IS UUD. 0 8 — 8 2
a.73e2Z -
*20,Ou
PERMIT TOTAL