1981, 04-30 Permit: 81A-4189 Roof Repair PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
4/5 ` 37
SPOKANE COUNTY — BUILDING CODES DEPARTMENT - + I
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADD ESS � Uc_ * * 1a6 00
1. •
7 0
b1+4 LEGAL DESCRIPTION - SEE ATTACHED b
LOT LOCK SUBDIVISION PARCEL NUMB R S
2. , 330 3532 - 90�� * Li Ll. u 0
O C'rt�
OWNAER� f �1/ �) O� �JI/�I . C>�
3. '"t/`I 61 K -1-ci 13 "-31 b� itt.L 100 . S. 2.,s 44- i1-0 tFt O• '�8) * C
ADDRESS '7 �j ZIP Actual Set Backs in Feet 'tom j�' ,� 1 s_ -_
- 706 V North 'South East (West
CONT�IC�{'OR. � �� PHONE '�� Size of Parcel Zone Classification tJ 4— 3 �,'—��:
4' ADD�{�E,SSSKI((rjl' �6 I ZIP 7� Type Const. Occupancy Sprinklered f 4 , 9.
DESIGNER Tor � PH NE 7 Valuation 15 Building s A❑INorea in S❑q.Req'd.
5' ADDRESS ZIP Main FloorFt.
" 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 I/ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF �yI CI BLD.
//
WORK '/° BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not R.eq'd.
of EXEMPTION CCC///
DESCRIBE WORK Enum.Dist. I Location (Area) T FEES COLLECTED
8. 1:200.r. '1�' {{JJ '
aAt VALUATION SOURCE GAS S ELECTRIC WATER SEWER Ownership OF
USE CODE
9. + 0 OF
Public ❑Private Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included 44-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 Building
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 Plumbing
DATE OF APPLICATION /7/"-- 0
� /v� Aid �"
"7SIGNATURE OF APPLICANT _ 7 Mech.
SPECIAL APPROVALS SPECIz L CONDITIONS:
NAME DATE64'�� L, (kb— l� i A Plan Check
Env. Health w K.-r—1'�j'� rJ J7 ("i V 1 ///2i6/2>'-;-,
SEPA r
Planning
V
Q)
Fire Marshall Mobile Home L''.1
J
LJ..
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A IP�ERMIT.
B=i ja Ian r PERMIT IS NONTRANSFERABLE `O 14117 3,.o Oi'i 4 1 a,9 Z *4 0 pQ h
-- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL