1980, 07-02 Permit: 80-6608 Roof Line Change PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 0
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
G �p�l /o�/^,/'�J
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRUS HPLRD TO MAKE 3 COPIES /\
JOB ADDRESS 0 2 * * 3 8 0 0
LEGAL DESCRIPTION — SEE ATTACHED
OT BC.00K SUBDIVISION PARCEL NUMBER/S /j---L 3 —/� c 7 * 3 8 O O
2.
OWNERI�`-f_ y /�-,I�ADDRESS ZIP�/}`PHO�NE B * O 0 0 8
3. 1,—%4 A Y k -/V D� ; k 600�(y
Actual Set Backs in Feet 6 6 0,3 '
1,1/ / H N C t4 ,L) /_5 —16 fps North 'South East (West 0`]—0 2—8 0
CONT ACTOR / / Size of Parcel Zone Classification
AQY?/cettreiRoc 2 6 4 7 9.
4' ADDRESS A `/ ZIP .. Type Const. Occupancy Sprinklered
�y� L Oyes ❑No 0 Req'd.
DESIGNER �� �\ PHO Valuatioy� Building Area in Sq. Ft.
5. Lr 3 004) /4,004'
ADDRESS ZIP,,' Main Floor Upper Floors Garage Area Storage -
CHANGEAir
USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. J r Ce
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
0 NEW ALT. 0 AD'N. 0 RPL. ❑ MVE. 1 — I
7. OF 0 OTHER
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION V
DESCRIBE WORK Enum. Dist. I Location (Area)
8'(1-1 ru 1[' -t— ,7✓`�c vcx—C
FEES COLLECTED
• VALUAT OURCE
G SECTRIC uyATER SEWER Ownership USE CODE
OF // Ill' ��� ��
` � UTILITIES '�-'�T'`� C%y
- '1.e.Cc.:- Public ❑Private [J
Single $
I hereby certify that I have read and examined this app,tion and have read the "NOTICE" provisions included _
on reverse side, and know the same to be true and c.rrect. All provisions of laws and ordinances governing this -0-38.co
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 Plumbing
DATE OF APPLICATION ,Z 0v SIGNATURE OF APPLICAN � A /' Mech.
SPECIAL APPRO ALS SPECIAL CONDITIONS: /
NAME DATEpp/� Plan Check
Env. Health Ah 01/4/'4-7/# ReccAtse Reee,c).
>-
SEPA
Planning
?l ftw t /4-r iiiK <�
UJ
Fire Marshall Mobile Home .�
LI:
Co. Engineer Other (Specify)
Utilities
TOTAL $ 38'-C20
plar. Exa ner _
--Thi/ — —' WHEN MACHINE VALIDATED IN THIS SPACE,
S Checklist THIS BECOMES A PERMIT.
Bu-di ech n PERMIT IS NONTRANSFERABLE 0 /Y- 0 21 8..0 6 6 x 8 oz *3 8 0 0 Q H -
��Z/gel PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL