1983, 11-04 Permit: 83B-1332 ReroofPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99280 / light) 458-3875
R LS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
FINAL DATEPlan Crack
Ii iZEEO XE L411(3
$EPA
Motlua l
MFG. Hama
Olherlswclly)
TOTAL $ ZZ - LIz7
WHEN MACHINE VALIDAT
PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
11 IN ISO DAYS LLF
DATEDO4_ 3
PERMIT NUMBER
33- 1 3Z
PERMITU J' 2 z . p L' O a POfAL
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APPLICANT:
COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
No. LMNlhga
TYPE El NEW ❑ALT. ❑ AO'N. RPL. Ll MVE.
PARCELNO.�//
1' C
. 11 1
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BLOCK
SUBDIVISION
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LEGAL DESCRIPTION:
2.
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OWNER
PHONE
PHONE
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VALUATION
MAILING ADDRESS
ELECTRIC
WATER
PUBLICO
ZIPu
n eel to: s cI�1
FEES COLLECTED
IfTLLITIEs
Nath Swto East Weat
CONTRACTOR
SEWER rJ
R unt L'PdvateC
LICENSE EXPIRES
PHONE
Sbad Parcel
ZoneGdgaogulon
RaggenBgl
�,EEp`s S.OINC
Builelnp
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
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thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
Dammmw0
4.
SIGNATUREOFAPPLICATION x/ -�jSiJ
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OWNER OR GENT DATE
Mach
ADDRESS
ZIP
Type Goon's
Qcupency Bpinkleretl
Lt%. 724P
�A-ToN
4 Z6S�
If
Q'3 CY® ONO ❑Req'tl.
DESIGNER
PHONE
Neat Corot. Valuationolawalas Valuation
Total Bltlp. Floor wren
5'
ADDRESS
ZIP
Mian Floor
Uppa Flmn
Garegel Slarape
Grcenhouae
CHANGE OF USE FROM
TO
Caner Darn Uacv. DeIX Fin. Basement
Unlin. ezeemem
8.
R LS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
FINAL DATEPlan Crack
Ii iZEEO XE L411(3
$EPA
Motlua l
MFG. Hama
Olherlswclly)
TOTAL $ ZZ - LIz7
WHEN MACHINE VALIDAT
PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
11 IN ISO DAYS LLF
DATEDO4_ 3
PERMIT NUMBER
33- 1 3Z
PERMITU J' 2 z . p L' O a POfAL
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W. Bads
Na. Flwra
No, Fin. Rwma
No. LMNlhga
TYPE El NEW ❑ALT. ❑ AO'N. RPL. Ll MVE.
7.
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Carrie al6em 1.
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Repui
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Numbx
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WORK
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DESCRIBE WORK
8.
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VALUATION
SOURCE GAS
OF
ELECTRIC
WATER
PUBLICO
SEWAGE
SEPTIC
pvrgahip
FEES COLLECTED
IfTLLITIEs
PRIVATE
SEWER rJ
R unt L'PdvateC
I hereby certify that I have read and examined this application and have read the "NOTICE" provigions included an
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of
Z2. 00
Builelnp
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
otconstructlon. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Pmmbla9
SIGNATUREOFAPPLICATION x/ -�jSiJ
J
OWNER OR GENT DATE
Mach
R LS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
FINAL DATEPlan Crack
Ii iZEEO XE L411(3
$EPA
Motlua l
MFG. Hama
Olherlswclly)
TOTAL $ ZZ - LIz7
WHEN MACHINE VALIDAT
PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
11 IN ISO DAYS LLF
DATEDO4_ 3
PERMIT NUMBER
33- 1 3Z
PERMITU J' 2 z . p L' O a POfAL
L
C
C
L