1981, 10-23 Permit: 81B-1026 Reroof PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 818' tb_,c .
0 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1 13C1 —" LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S CJ G 5 O. O C
2. 5 n, UJ En
OWNER PHONE
* Y
A'i .J +cx . CA-CT-K(3 e.(2-1- x.$542 4-7-c)el O. 0
3 ADDRESS ZIP Actual Set Backs in Feet Pi * C. 0 0 S?
E., iOct a... 2--02--0-r6 O6 act2�C North (South F East 'West
CONTRACTOR PHONE Size of Parcel Zone Classification 1 0 2 5
4. G ' v�040PeTLCna * Cc.NSz7 .-2-3013 1 0—2 3—8 1
ADDRESS ZIP TyTpre Const. Occupancy Sprinklered
'i30,t 2-4.0( 1n)Cocet_luw. { �A . 4c YjJ (2,- Dyes ❑No ❑ Req'd. 5 6 4 7 9.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
.
s. Caexs
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. lif RPL. ❑ MVE. —
7, OF ❑ OTHER
WORK Iiir
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8. ?...e--1zrcw- Resit cw—..1c. ., I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership Ed USE CODE
J ,(C,Cyc>
UTILITIES Public ❑Private• Single $
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 4S®.CP
type of work will be complied with whether specified herein or not. The granting of a permit d. not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating co ruction or the
performance of construction.S E RE RSE SIDE FOR REQUIRED INSPEC SN' Plumbing
DATE OF APPLICATION O 23 I SIGNATURE OF APPLICANT // .� ,bwri, / Mech.
SPECIAL APPROVALS S' CIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >,-
o_.
Planning OC..)
Mobile Home `.J
Fire Marshall '"�
CL:
Co. Engineer Other(Specify)
•
Utilities
TOTAL $60-06
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE '` 'r•
*5 a 0.0
O''''P
P C- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL