1983, 09-06 Permit: 83A-8618 ReroofPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3875
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
3.
4.
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ADDRESS
LOT
PARCEL NO.
LEGAL DESCRIPTION
PHONE
IS5'I — Igb3
Actual Set Backs in Feet to.
North (South
`East
West
971 lel+
02I
Size of Parcel
Zone Classification
Residential C3
Commercial 0
Type Const.
Occupancy
Spr nklered
❑Vee ENo 0Reg 'd.
5.
DESIGNER
H E
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv Deck
Fin. Basement
Unfin. Basement
TYPE O NEW ,1 ALT. 0 AD' N. 0 RPL. 0 MVE.
7. OF /
WORK ID BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
17 OTHER
No. Baths
No. Floors
No. Fln. Rooms
No. Dwellings
Certifl. of Exempt
or Variance
Required Yes❑ No❑
Received VesO No0
Number
8
DES9,41B WORK
Ug ION
9. ��
I hereby certify that I have read and examined this appl cation and have read the 'NOTICE" provisions included on
reverse side, and know the same to be true and correct. Ail 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 state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SOURCE
UTILLIITIES
GAS
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SIGNATURE OF
OWNER OR AGENT
SEWAGE
SEPTIC 0
SEWER 0
Shorelines/Flood Hazard
YesD Not Applic.0
Ownership
Public 0 Private 0
APPLICATION 7-o /` ?3
DATE /
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plana
Exam.
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Required
Received 0
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
02* *2000
861.7B
09-06-83
A 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09=06-83
DATE ISSUED
861:82 *2a0.0
TOTAL
PERMIT NO.