HomeMy WebLinkAbout1980, 12-11 Permit: 80B-4756 Reroof, Remodel NPLAN NUMBER
PERMIT NUMBER
L /a/,r/s0 APPLICATION/PERMIT 0 8643— "7..."5-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
1. C 7I,3iJ 34,4 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCSU -r,,,
IVI ION PARCEL NUMBER/S �/6—��/—.,24,/ . , e)e)
2. ,c7 ' _T
,CG)% /4 Al-d./.. !,.(3TS /7—i ir
OWNER ,� U'/' PHONES`G'��
3. L -t t } . � 2_- z,74—y,...35y A-31:_1( q �MPir K, 6/4 .21,4A-01) 6-lJU
ADDRESS ,„1�' ZIP /� Actual Set Backs in Feet E4 • x �,�$, 6 (j �1
C7 3 Z J 1,,,� : C� LL \",r`_ ” e' t-t ,'_ 99,- 6' , North 'South East
C21\1TCTO 5 i., p PHONE Size of Parcel a Zone Classificayion
4. �° "t L.C�x(..Cit.-/ (7 -� t.-e-t G L.. 41y9-4, x,3.5— (v,3-`C /-Q 7 I.t, a°l/r�.���.L[X�`.� r-Lti..t-- le b
ADDRESS ZIPZISType Const. Occupancy Sprinklered 7C U
C_" 7a..1 ,4 -krzi, ��. 'r"'c 'ZL.C.• %9,24 7 ❑Yes ❑No ❑ Req'd. 7,DtJ
DESIGNER PHONE Valuation
8 Ey) Building Area in Sq. Ft. �L
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage , _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7 WORK ❑ BLD. 0 PLMB. `J ME� ❑ H. J POQL X OTHER CERTIFICATE
Req'd. Rec'd. Not Req'd.
AL- .. 4. tL,' of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) 1
811C-,— r j) `(,ZL.L Q. — �.Y4-'C-0, ;�J__ , l_. I FEES COLLECTED
)VALUA 10 SOURCE OF GAS ELECTRIC WATER SEWER Ownership �s USE CODE
9. r 6?C)Q UTILITIES Public ❑Private w Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included ��'t'���c
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building ( '`
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 INSPECTIO S Plumbing
DATE OF APPLICATION /,Q-J/-SlZ.) SIGNATURE OF APPLICANT Mech.
7`_y_.r
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE 1 Plan Check
Env. Health a 44,(...C. .- ,.Jc�-4-'
/� "f1 ,,�`r�,� SEPA >-
Planning ii ,�.Jc'., Loc.C.'"v �"' p
�" �/
Fire Marshall G � ZA-L , Mobile Home w
. J �� L
Co. Engineer Other(Specify)
y.Z749 ' _
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bui ing ech ,ician �' � S\ , PERMIT IS NONTRANSFERABLE 1 2,711—'8'0 4 7.5.6 z' * 7 7.0 0 4 F
A 0Q2e-1�L- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL