1983, 01-07 Permit: 83A-0151 ReroofPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1.
L�OfiK SUBDIVISION'?-
MA LING DrEESS � ✓
r4 s kJa7O RL rr
CO ACTOR
4. o-
AixOss
DESIGNER
LOT
2.
3.
PARCEL NO. 17 ''1-I o6 I v
5.
PHONE
LICENSE EXPIRES
7,2-06
LEGAL DESCRIPTION:
1,1-2 70 rtz
Actual Set Backs in Feet to: -c76,1-,-,
`Eas
North ISouth
e Ef
Size of Parcel
West
lass ficatl�o°rl Residential r�
��_ 7 . 19 Commercial 0
93
Spr nklered
❑Yes ❑No ❑Req 'd.
ADDRESS
CHANGE OF USE FROM
•
PHONE
ZIP
TO
TYPE 0/ NEW .,2" --ALT. ❑ AD' N. 0 RPL. ❑ MVE.
7 WORK ❑ OTHER
K' BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
New Const. Valuation
Re a ed Valu ion
Main Floor
Upper Floors
Cover Deck
No. Baths
Garage/Storage
Uncv. Deck
No. Floors
DESCRIBE Wp'
8. 115-b,"
VALUATI SOURCE ■ SEPTIC ❑E
UTILITIES PRIVATE ■ SEWER 0
9. X77
Ownership
Public 0 Private 0
Total Bldg. Floor Area
Greenhouse
Fin. Basement
Required Yes❑ No
Received Yes❑ No❑
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 au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVER SIDE FOR REOUIRED IINSPE NS
SIGNATURE OF�
OWNER OR AGE
APPLICATION 1
DATE3
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
6,(2 - (743 - `� ��Z-p-3 `! )
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Plans Required 0
Received 0
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
7
PERMIT NUMBER
8,A
02* *47.00
*47.006
A *0.00 3
15,02
'01-07-83
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEOisliUEc 7 - 8 3
PERMIT Nb.5, 1 Z
*47.00ia#AL