1979, 08-09 Permit: 79-1846 Reroof PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
79— .4_, ,
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 07 ,,
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 1 2 * * 1 0,0 0
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES * 1 0.00 u-
JOB ADDRESS
1. ", 1-22-0C., �-thLT
b LEGADESC"'RIPTION - SEE ATTACHED * 1 0, 0 0
A * GOOc
Q
LOT BLOCK SUBDIVISION /lad 4_,.m rn PARCEL NUMBER/S 2 ,3 1 8&5
2. 6, -7) r-�O �/ 7 'i1� r ......a.„32- j
WI • PHONE 08-09-79
a fOe/i G-Cilies `,Z —b 5/i Y 2 6 4 7 9,
DDRESS
t .+) I� ZIP / Required Set Backs in Feet
e /3 0/ cai �( 50ek -tt 1 k 99-26 4. North (SouthEast (West
CONTRACTORPHONE Size of Parcel Zone Classification
4. _ /710jc l e 6. Z5"5--7979
ADDRESS ZIP Type Const. Occupancy Sprinklered
Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
TYPE No. Baths No. Floors No. Rooms Rec. Room
❑ NF,W ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF —/ ❑ OTHER
WORK BLD. CIPLMB. ❑ MECH: CIM.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBEp- WORK �r / `}y� j
8. G — Re)Of (�Lvll AndS/iGL G /yg er o�'a�t' fs�aN _ski:4,4,s FEES COLLE�TED
I// Source GfA5LECTRIC WATER SEWER9. VALUATION
_2_2-00/
L�0 of /j�
Utilities Single'art• $!
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
Plumbing
performance of construction.
DATE SIGNATURE Mech.
4
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
•4: � 1 SEPA I-
Planning — U
w
a_
FireMobile Home rn
Marshall
Z
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ` I r` THIS BECOMES A PERMIT.
DAT ---7' <2) OFFI __,,__..��, - 08 -09 -79 184.6 * 10. 00J �'
APPROR ISSUANCE
_ice.