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1980, 05-13 Permit: 80-4696 Roof Repair
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT 50 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS V x 2L. (:` 1. 5-vot5 ve2e�. LEGAL DESCRIPTION - SEE ATTACHED y LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. Je^ �' 0} orz:N.l'V - y Tt2iu c t`aT * OWNER PHONE 3. srlAC,11,1AS Rf4s6•Le`( °V A.-SLOG Z-75-4Z-044 0 5 ADDRESS , ZIP Actual Set Backs in Feet 4 6 9, 5" S• �‘(..is- `Ve L.LC2 214 North 'SouthEast 'West CONTRACTOR PHONE Size of Parcel Zone Classification 1 ``? 4. .1\IO2�-tAS I iD k. i L S, )iv ci L4til3-ecA:74 - 6 4 7 9 ADDRESS ZIP Type Const. Occupancy Sprinklered 570e) IJ. .1%/kAft_IC-e( ?..0-7 ❑Yes ❑No 0 Req'd. DESIGNER PHONE ysluation Building Area in Sq. Ft. -TN 5. ADDRESS ZIPMain Floorlo �� Upper Floors Garage Area Storage - CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. .— TYPENo. Baths No. Stories No. Rooms No. of Dwellings 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. 7, OF 0 OTHER WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK Enum. Dist. I Location (Area) 8. R EPA I Q '-b Ar .Ac `D CXDF q �At,1t, FEES COLLECTED VALUATIONI SOURCE GAS ELECTRIC WATER SEWER Ownership / USE CODE OF 9. ,3 0 UTILITIES Public 0 Private 11 Single $ 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 Building '.©C7 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 regulating construction or the performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing Plumbing DATE OF APPLICATION /S� r° SIGNATURE OF APPLICANT de?? Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health Planning SEPA Fires Marchll __ I - V W Co. Engineer Other(Specify) Utilities TOTAL $22.00 Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Buildi g Technician PERMIT IS NONTRANSFERABLE ,D 5 - 1.3 -8'0 4 6 9.6 0 * 2 2. 0 0r_- /3 * PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL