1980, 08-25 Permit: 80-9068 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
t.
2.
JOB ADDRESS
5, zto/
LOT BLOCK
5' Z
Mc(v WA LP AMP
ED I
SU
OWNER
3 J/AA LALRKIN
ADDRESS
5. 21o/ M c PoNALP
LEGAL DESCRIPTION - SEE ATTACHED
Oppog.-T1/1141TY -rag?Ace-4{' 714 APP
PHONE
72.4- 3G2
PARCEL NUMBER/S 27S'S'/— Z 2] ,
CONTRACTOR
MOM FNTEfZPI?1SF_S' i?Jz
ROD iktspa
ZIP
'792/6
Actual Set Backs in Feet
North EX (South EX
PHONE
924— /6zl
Size of Parcel
/33 X en
ADDRESS
P.O. /3 !44o9 SPOKANE_
ZIP
99 2.111 -
/RREG
Type Const. Occupancy
V' 1.1 R-3
East g -X IWest
Zone Classification
SMGL PArvoL-y Kas
Sprinklered
Oyes ❑No ❑ Recite!.
5.
DESIGNER
PHONE
Valuation no
00
Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
O MECH.
❑ RPL.
❑ M.H.
O MV E.
O POOL
0 OTHER
• No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
v
DESCRIBE WORK .
B. RSR-ooF/r/G Ex ha SE_ 101 -1 -
VALUATION
9. `532002
Enum. Dist.
SHAKr_-s Rock
Location (Area)
SOURCE GAS ELECTRIC WATER
OF
TILITIES
SEWER
Ownership
Public 0Private Er
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 permit does not presume
to give authority to violate or cancel the provisions of any other state or local law 1-gulati 1 construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION L ♦ D SIGNATURE OF APPLICAT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPE IAL CONDITIONS:
iw Q -Fag—K iterlacC—? ca rtrAk Tolps—LLSENc _
AXP/AES q-- /S— b'/
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
$
00
i ` /cy
Other (Specify)
r � � d0
TOTAL $ �! aj!
PERMIT NUMBER
cFo- 906.
02* *4400
*4400
*44008
A *0.00
.9067
08'-25-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
90'6.82 •*4400.o
PERMIT NO. TOTAL