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1980, 10-03 Permit: 80B-1379 ReroofPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HADD TO MAKE 3 COPIES JOB ADDRESS � LEGAL DESCRIPTION —SEE ATTACHED 2 L UB O V �IV � Ao) , PARCEL NUMBER/S O� OWNERP O��i Qri &t 1 7-� 16.51-1 � O• 3. fi' -� ADeIESS© w ZIP n Actual Set Backs in Feet EV/ ^�� �� �A 2- `�' North South East West co CT Tp�t PHONE Size of Parcel Zone Classification 4 �"G',7��IA�/��/ ADDRESS ZIP Type Const.Occupancy Sprinklered Dyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. / TYPE ry No. Baths No. Stories No. Rooms No. of Dwelling El NEW WJ ALT. E) AD'N. ❑ RPL. El MVE. 7, OF ❑ OTHER LLE BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd WORK of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED 8 � VALUATION SOURCE GAS ELECTRIC WATER SEWER wnership USE Cjed /� 9, 1000 OF UTtLITtES [Public❑Private ❑ Single $ I hereby certify that I have read and examined this application and have read the "NOTICE" provisions inclu on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing ,__ G,-� 1% ✓v type of work will be complied with whether specified herein or not. The granting of a permit does not presBuilding + to give authority to violate or cancel the provisions of any other state or local law regulating construction or performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing DATE OF APPLICATION O V SIGNATURE OF APPLICAN Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Plan Check SEPA Mobile Home Other (Specify) TOTAL $1 �-- PERMIT NUMBER 801!�>-1372 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. ng T,�chnicia —� PERMIT IS NONTRANSFERABLE I -+ _ _ f 2 J• 0'3� --:8 0 > 7, g_,_ * 17.5 a _