1982, 04-15 Permit: 82A-2848 ReroofPLAN 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.
N.12.1 1-1e .kup
BLOCK SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
Aucciaro
PHONE
cpz - 41c,
PARCEL NI)MBER/5' .
ADDRESS
N, iZ} 4��czAc.c�
CONTRACTOR
4 Al2TC)
ZIP
OC
Actual Set Backs in Feet
North — 'South — 1East
-
West
G7G�ir-I4C,
/��
PHONE{ -/]/, •
Size of Parcel
Zone Classification
' ADDRESS
C.. `? 1'2.. t (..� er ,3
DESIGNER
5' ADDRESS
ZIP
4a
PHONE
Type Const.
�tp
Valuation
kbC
Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑(/NEW 0 ALT, 0 AD N. RPL. 0 MVE.
LTJ BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. �r�r ! t
Enum. Dist.
Location (Area)
VALUATION SOURCE GAS
OF
T(000 UTILITIES
ELECTRIC
WATER
SEWER
Ownership
Public 0 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 perm does not •resum
to give authority to violate or cancel the provisions of any other state ocal law regulaticons n or ,''e
performance of construction. SEE ' EVER SIDE FOR REQUIRED IN CTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Enginee
Utilities
Plans Examiner
SEPA Checklist
:ire/Technician
SIGNATURE OF APPLICANT
SP- IAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
$
Building 4'-20.0 >
PI
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ ao
PERMIT NUMBER
2-2.€348
*2000::
o L —1 5—:�
6r7^
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
044715-821 28485 *20.00 2. -
DATE ISSUED PERMIT NO. TOTAL