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1983, 08-17 Permit: 83A-7919 Reroof
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY 05A -1C1 k()1 CNORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL P.10. 1. . 35tS u bv..' ►vg , LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. (:=UFR PHONE PHONE 3. " w trver2- Ct2S.v ,5 MAILING A DRESS ZIP Actual Set Backs in Feet to: S , 5 t S 'T1.VtAii ti?..-,14t1).Z.. 4C-<(.." --) North !South East I West C NTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential❑ -re,.N --P-..©o�c�G� 4-`a -cte(� Commercial CI 4• DRESS ZIP Type Const. Occupancy Sprinklered ,P-0• 74 44,20-5 ❑Yes 0 N ❑Req'd. DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area 5• - ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement 6. / PL. El MVE. No.Baths No.Floors No.Fin.Rooms No.Dwellings TYPE ❑ NW El ALT. El AD'N. 1 R 7. OF WORK D. ❑ PLMB. MECH. M.H. ❑ POOL CI OTHER " BLEl El Certifi.of Exempt. Required Yes No Number or Variance Received Yes❑ No El DESCRIBE WORK Shorelines/Flood Hazard Plans Required❑ 8• "Re - e_c5::::›P -R-Es L OCAuC_k, Yes Not Applic.❑ Received ❑ dii VALUATION URCE GAS ELECTRIC WATER SEWAGE Ownership S �—��` SO4PUBLIC CISEPTIC❑ Public CI Private CI FEES COLLECTED L UTILITIES PRIVATE❑ SEWER El 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 ofroo work will be complied with whether speci '-d erein or n. e grantingif a permit does not presume to give au- Building LL thority to violate or el the provisio . of .ny other : • - .r local law1 -gulating construction or the performance of construction.SEE R VERSE SIDE 'OR •EQ R % ••ECTIONS/ Plumbing SIGNATURE OF 0 �‘. ..*� - APPLICATION OWNER OR AGENT • �A' DATE Mech. SPECIAL APPRO ' PECIAV y .(TION (SEE REVERSE SIDE FOR NOTICE) Plan Check PRELIM. -� 'AL DATE Env.Health SEPA Planning Modular/ Fire MFG.Home a Prevent. O Engineer Other(Specify) W J Utilitiesr OU _ TOTAL $(� SEPA MACHINE Plans PERMIT IS NONTRANSFERABLE HEIS BECOMES A PERMITTED IN THIS SPACE, Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building s/�, IN 180 DAYS � QQ '' 1 7 pp o 0 J Tech. 9n- /l 7 DATEISSUED1 7 -8 3 PERMIT R07. 1. 9 z * 6 1.0 Q1tbtAL