1980, 07-30 Permit: 80-7931 Re-RoofPLANyUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
8.
VALU TION SO RCE GAS ELECTRIC I WATER SEWER Ownership USE CODE
9 OOFPublic ❑ Private rivate ❑
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 Building
type of work will be complied with whether specified herein or not. The granting of a perm' does presum
to give authority to violate or cancel the provisions of any other state or local law regulati ons u Ion or e
performance of construction. SE REVE E SIDE FOR REQUIRED INSP TIONS Plumbing
A -1 -
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SP CIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Co. Engineer
s Examiner
In PERMIT IS NONTRANSFERABLE
730
DC RnA[T GYD[R FC f1NF YEAR 1=12l1M fIATF rlF ICCI IAAIf F
Mobile Home
Other (Specify)
TOTAL $ �r
PERMIT NUMBER
02'* *25,00
*2500
*2500
E *0.00
793.0
07-30-80
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
,017 -�3, 0 � 8: 0 19 3,1 z
rIATC ICC[ 1r:n DCRAAIT mn
*25.00a-
Tf1TA 1
7
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APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS_�,j
� e5I (I
LEGAL DESCRIPTION -SEE ATTACHED
13
LOT
l
BLOCK SUBDIVISION
T�
PARCEL NUMBER/S 27'5 rt; _,0
/ c��G'
2.
Mo i�
�'
-
OWNER
PHONE
3.
--j
ADDrSS
j�
ZIP
Actual Set Backs in Feet
I��i�
North South East West
CONTRACTOR
'BOG
PHONE
-�
Size of Parcel
Zone Classification
d
4'
ADDRESS/I'
Type Const.
Occupancy
Sprinklered
❑Yes []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.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
,�
TYPE 0/1
❑ NEW LJ ALT. ❑ AD -N. ❑ RPL.
❑ MVE.
7,
OF
ElOTHER
BLD. ElPLMB. ❑ MECH. ❑ M.H.
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
8.
VALU TION SO RCE GAS ELECTRIC I WATER SEWER Ownership USE CODE
9 OOFPublic ❑ Private rivate ❑
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 Building
type of work will be complied with whether specified herein or not. The granting of a perm' does presum
to give authority to violate or cancel the provisions of any other state or local law regulati ons u Ion or e
performance of construction. SE REVE E SIDE FOR REQUIRED INSP TIONS Plumbing
A -1 -
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SP CIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Co. Engineer
s Examiner
In PERMIT IS NONTRANSFERABLE
730
DC RnA[T GYD[R FC f1NF YEAR 1=12l1M fIATF rlF ICCI IAAIf F
Mobile Home
Other (Specify)
TOTAL $ �r
PERMIT NUMBER
02'* *25,00
*2500
*2500
E *0.00
793.0
07-30-80
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
,017 -�3, 0 � 8: 0 19 3,1 z
rIATC ICC[ 1r:n DCRAAIT mn
*25.00a-
Tf1TA 1
7
O
C
C
i
7