1980, 11-06 Permit: 80B-3370 ReroofPLAN NUMBER
(
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
JOB ADDRESS
LOT
2.
OWNER
3.
ADDRE
5.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
6 7// 3 �-u
BLOCK SUBDIVISION
CO ACTOR,
SS
,er as
DESIGNER
ZIP
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S i " 3/ _ Gel 6.
—9 / .,
Actual Set Backs in Feet
North (South East (West
Size of Parcel Zone Classification
ZIP_y
PHONE
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
/7,570�o
Building Area in Sq. F
ADDRESS
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
❑ NEW
❑ BLD.
❑ ALT.
O PLMB.
O AD'N.
O MECH.
❑ RPL.
O M.H.
El MVE.
0 POOL
OTHER
DESG E WORK
8.
No. 681hs
No. Stories
CZ -44
-No. Roor7n
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
Enum. Dist. I Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
ATER
SEWER
Ownersh ip
Public ❑ Private ❑
USE CODE
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
DATE OF APPLICATION /l— CPO
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
Ze_Ae,x—
q
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
7°L —3370
33682
11 8p
64 9.
02* *29,00
* 29,00
* 2-9.006
A *0.00
33692
11-06-80
z 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11; fl it tlo.
DATE ISSUED
357.05 *29.00
O J
n.1- -
PERMIT NO. ICTAL