1982, 09-30 Permit: 82A-8915 Replace RoofPLAN 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
2.
E ' 12.03/J&
BLOCK SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
BAc.cNS Cz7R.J-HNAct-PK
3
OWNER
lc ANN
ADDRESS
E. 17203 BooNE. AV6 GiartEN CRSS
CONTRACTOR
4. _ SS' tYiLfAori4CKI CoMrr
ADDRESS
BARN sl Ey
PHONE
gee -eel
Al - 4-z10 MA _C-Ufl..te- kohl)
ZIP
enoi
PHONE
92.6 7012.
PARCEL NUMBER'S /8.552_- /0 13
PT cF BID,BEcT A'TA Pr 200E -r N of
5E coR L to —ri4 t� wLy —ro A Pr 3fFo F -r
N OF six.) coil LID - ri4 S T.•- s iu? C(ft TO
Actual Set Backs in F-eetet3 G4Ia(L-/.j( N '(R t3irEfc
North E/y}‘otliht !MC East 'West
Size of Parcel l Zone Classification
ZIP
�l�I ZAP
Type Const.
-Occupancy
1 -3
Sprinklered
Dyes DNo 0 Req'd.
5.
DESIGNER
PHONE
Valuation
37 to
ADDRESS
ZIP
Main Floor
Building Area in Sq. Ft.
y /314
1
Upper Floors Garage Arearea Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfln. Basement
TYPE
7. OF
WORK
❑ NEW
O BLD.
❑ ALT.
❑ 'LMB.
❑ AD N.
O MECH.
O RPL.
❑ M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. REP/Atte.EXISTING 12-61op
Enum. Dist.
Location (Ar a)
,VALUATION
SOURCE
9.`�3C/8QOF
9UTI TIES
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
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
DATE OF APPLICATION
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
en NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utllitie
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
1&RPLACl EXrsY(Nc KAr-rEg-s torrN Rbor --T71-14-LS
ES
rig-oM PoJc4t4 - -172 ,ts,s . W rTf4- i c2X' e ie p
APED cOM9OXTto1J Kt) 0E- -riausaLcs a 2' 0c,
--23-0( - CFtOLEK 31`(M1\1 /0 -1 -b --
B
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
T.2A— 811
02* *5400
*5400
*54006
A *0.00
891.42
09-30-82
2.6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
i. 71 r
011PAi 01 8t2;
DATE ISSUED
8'91.5'2 *:5400a�
PERMIT NO.
TOTAL '