1980, 11-13 Permit: 80B-3660 Reroof PLAN NUMBER
/ APPLICATION/PERMIT PERMIT NUMBER
j�1 3/�o SPOKANE COUNTY - BUILDING CODES DEPARTMENT 2,0t5 _;,?_,64,0
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOBDRESS 02 * * 32,00
1. �• &7I -7 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLO K SUBDI ISION PARCEL NUMBER/S (I
2. 7 (ri K� H 11-1-1 b1•-fi 1/-
�� 3I - 3l i I * 32,00 Y
OWNS I PHONE �� 1.0--r--.2..
F.. L I- VL)c 1---�-C� `7�,-o2^ ALL I-0 -1- �- n * 0:~', 0
3 ADDRESS ZIP Actual Set Backs in Feet
t ' &7r� g 365,9
North (South East (West
CONTRA TOR PHON Size of Parcel Zone Classification
Gv LFlON i' le7i - 329.-bOO 11 - 13-8C
4' ADO �Z/ P l I P��� Type Const. Occupancy Sprinklered _ 7
W 1 U LJ/J = 6 4 : 9
Oyes ❑No ❑ Req'd.
DESIGNER . PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER
WORK 'K' BLD. ❑ PLMB. 0 MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not 'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) r
8. K FEES COLLECTED
I
VALUATION S URCE GAS ELECTRIC WATER SEWER Ownership /USE CODE
9 1709 LIOPublic 0 Private
UTILITIESSingle $
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 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 INSPECTIONS Plumbing
C
DATE OF APPLICATION /U-/� g� law ./.��. y
SIGNATURE OF APPLICAN Plum
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check _
Env. Health
SEPA r
Planning c7
i�
Mobile Home LO
Fire Marshall
Li:
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Build -e Tec^•'-'.n r PERMIT IS NONTRANSFERABLE ' 11+}.'3';.-!8 D. 3 6 0 z fl320 d IJ-
-�t'y--- c PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL