Loading...
1984, 04-19 Permit: 84A-3570 ReroofPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 1. 2. APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES STREET ADDRESS E kz.61Cv LOT BLOCK SUBDIVISION PARCEL NO. OWNER C , ,ra MAILING ADDRESS C— (2.0C% CONTRACTOR pyiC 4. ADDRESS DESIGNER 5. ADDRESS PHONE PHONE ZIP �Gzic, LICENSE EXPIRES PHONE ZIP PHONE LEGAL DESCRIPTION: Actual Set Backs in Feet to: E North I South I East I West Size of Parcel Zone Classification Residential fD/ Commercial ryp_ onst. Occupancy 7> Sprinklered EYes CNo ❑Req'd. New Const. Valuation mode ed Valuation Total Bldg. Floor Area ZIP Main Floor Upper Floors Garage/Storage Greenhouse 6. CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement TYPE ❑ NEW 7. OF WORK 'BLD. 8. 9. DESCRIBE WORK `52,€ ALUATION 23 ❑ ALT. ❑ AD' N. 1 RPL. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths No. Floors No. Fin. Rooms No. Dwellings Certifi. of Exempt. or Variance Required Received Yes❑ NoCT Yes❑ No❑ Number ZG; t7 C- lvC,C Shorelines/Flood Hazard Yes, Not Applic. C Plans Required C Received E SOURCE F UTILITIES GAS ELECTRIC WATER PUBLIC ❑ PRIVATE C SEWAGE SEPTIC ❑ SEWER ❑ Ownership Public C Private 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$ESIDE FOR REQ 7JIRED INSPECTIONS / SIGNATURE OF OWNER OR AGENT( SPECIAL APPROVALS PRELIM. FINAL DATE 177 APPLICATION // < DATE '7 �/— t Y Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ 7C) PERMIT NUMBER L2* *2000 3569- 04-19-84 2 6479 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE9SSUED1 9 -8 4 PERMITN. 70 5 *2 O,O OiO AL a O W —J