1983, 06-15 Permit: 83A-5291 Reroof PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY 0 3 - 52')- I
rTh NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
STREET 1 ice ESS - kJb�� 0 F-0/1/4-- PARCEL NO.' 1.7r - Ro 7
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
3. OW : Nit., J 44, A Pp .,t37
7 PHONE
MAI�NG`D-D7RESS.6 L ,10 0 ZIP Actual Set Backs in Feet to: t
I / North 'South East I West /
TRA TOR / LICENSE EXPIRES *ONE r� Size of Parcel Zo a Class�fJi�cyatyio� Residential-2
C ry 1� $'1 r �# i ,t/�p ��J 7-" t Commercial 0 0 2 * * 2 é: 0 b
4. Aim t' i'I es 1" /� Type C}orn�tl Occup cY Sprinklered
'V �1 d�4/ �'�� V N �d ❑Yes 0 N ❑Req'd. * 2 E.. 0 0 3
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area A * C n C. 9
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse 5 2 9.0 z
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement 0 F- 3
6.
6.479.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑ NEW ErALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF 0 OTHER
WORK DLD. ❑ PLMB. 0 MECH. ❑ M.H. 0 POOL Certifi.of Exempt. Required Yes❑ No❑ Number
or Variance Received Yes CI No❑
DEgl ORK Shorelines/Flood Hazard Plans Required 0
8. Yes❑ Not Applic.0 Received 0
VALUATION SOOUFCE GAS ELECTRIC PUB IWATER SEPTIC G❑E Ownership FEES COLLECTED
9. I'S✓0 0 UTILITIES PRIVATE 0 SEWER 0 Public 0 Private
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 94:2 .
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- Building
thority to violate or cancel the provisions of any other sta - or local law regulating construction or the performance
of construction.SESERSE SIDE FOR REOUIR •, 'SPECTI•• ' Plumbing
SIGNATURE OF ar •PPLICATION
OWNER OR AGENT -/'���I t s •
DATE Mech.
SPECIAL APPK• ALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICEI 7
Plan Check
PREL INAL DATE Jt LiW/y /,'+# SD 41-
q)
Env.Health `
SEPA
Planning
Modular/
MFG.Home
Fire 0
Prevent. d
O
Engineer Other(Specify) C.3
W
J_
Utilities /_
SEPA '
TOTAL $ —'9--6
-�
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED - oi
Building V �J/ IN180DAYS 06 -•15 -83 529. 12 *26,0011
Tec /1 5 DATE ISSUED PERMIT NO. TOTAL