1982, 04-08 Permit: 82A-2599 Reroof PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT Sa" -215Gtci
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
e../ APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
1. (� • aS i5. `VIII..- uS2.
LOT BLOCK SUBDIVISION PAP EL NLVBER/S 0 * * L(,0
2. {I "] �/the.t- tAa
OWNER PHONE * 5+.U 0 u�.`
3• s ettic-1.Sra O'24-3q43 I ii'( -all 1 * 511:0 0 6
ADDRESS ZIP Actual Set Backs in Feetext ;f Imo(
S •ZSt2j NA u......,73 Q Clot,4jc North 'South East 'West A * 0 0 0 L.
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ll eFF i�Gnri 1oviG . . - . `-n 259, 8
ADDRESS ZIP �T�y�_pe Const. Occupancy Sprinklered
E_,-3"'2 5 C`.A4 l,t co QcA�UC �J �1 �'3 ❑Yes ❑No ❑ Req'd. 0 1*—0 —8 2
DESIGNER PHONE Valuation Building Area in Sq. Ft. 6 4 7 9
5. 0; 24
ADDRESS ZIP Main Floor 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
D NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE. / -- —
7. OF LK OTHER
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Nod Ij.Eq'd.
of EXEMPTION �J
DESCRIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED
8. `Z—dr' S(OENCfo I
VALUATION SOURCE GAS ELECTRIC WATER SEWEROwnership USE CODE
O F
. • Q UTILITIES Public ❑Private 0
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 °•54•06
`od
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 1 Plumbing
1
DATE OF APPLICATION 47/ ,//Q' 621 SIGNATURE OF APPLICANT-./t`r 0 ( ., •i,^Jxj -tvO.-( Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
(SC5C5a 0 SEPA 2
T r2
Planning cO
U
Fire Marshall Mobile Home .—ii
u.
Co. Engineer Other (Specify)
Utilities
TOTAL $ � ee°
Plans Examiner
NOT 26::
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
\ •
Building Technician PERMIT IS NONTRANSFERABLE 0 47'08 "'82 2'5 9 9 z *5 4.0 0 Rir!
9 it �1 9rme PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL