1981, 09-21 Permit: 81A-9594 ReroofPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
e . e6B0 ci lAD OCD\` C. -A W.).ti � r2
LOT BLOCK SUBDIVISION
2.
OWNER PHONE
3 r . yv� . C� c�ti e. No Nl 5 65- -' --c1A-
ZIP
4.
ADDRESS
. t3600
CONTRACTOR
JAw
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S Gp Cl,ucc IZ>=t'CAZ 3L.4it eat,
PrivCJ r WTh '2.415 LVC- IC.. Lllt 'Ft.
23631- 113Ci
Actual Set Backs in _FeI cm)
'South SouthllCC ll East West
ADDRESS
DESIGNER
PHONE
ZIP
ADDRESS
6.
CHANGE OF USE FROM
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
PHONE
ZIP
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
Fr/OTHER
Size of Parcel
E.A.I (UL.%
Zone Classification
A(_1 .bL.4.IJ�A ��ry
Type Const.
.1.
Occupancy
'R-3
Sprinklered
Yes ❑No ❑ Req'd.
Valuation
Ill
Building Area in Sq. Ft.
Main Floor
Upper Floors
Garage Area
Storage
Area of Decks
Finished Basement
Un in. Basemen
No. Baths
No. Stories
No. Rooms
No. of Dwellings
DESCRIBE WORK
8. 126 — tw kZaS S1VCx.
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
VALUATION SOURCE ELECTRIC WATER
OF
941 UTILITIES
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 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
GAS
SEWER
Ownership
Public ❑ Private
Req'd.
USE CODE
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buildi Technicia
SIGNATURE OF APPLIT'
SPECIAL CONDITIONS:
Rec'd.
Notlteq'd.
FEES COLLECTED
Single $
Building 1q,00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ l9.GU
PERMIT NUMBER
g 1 A' -C Sci4-
02*
* 1 9.00 •
* 19.00 17)
959,32
09-21-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Og;_ 1.-g1 959.42
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
* 19.00aJ_
PERMIT IS NONTRANSFERABLE