1980, 04-21 Permit App: 80-3729 Roof DeckSPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
t- ile.av 4S ` '11
LEGAL DESCRIPTION -SEE ATTACHED
1.
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2. to
I
M 2UN
OWNER C
STEPjAC,*3 �A Li-AL_,—Ot(•
PHONE
CTZCL-6 -,
3.
,
ADDRESS
ZIP
Actual Set Backs in Feet
C' i lbZd 4S- H
9 -i-Z
C- .
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
S )-NV-hC
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
S'iAi1'1C:
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Val tion
Building Area in Sq. Ft.
-1
'>,S 4 -
5.
ADDRESS
ZIP
Main Floor
-
Upper Floors
—
Garage Area
—
Storage
--y.
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
_
TYPE('�] NEW ❑ ALT.
❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellin
7, OF
BLD. 1:1PLMB.
❑ OTHER
ElMECH. EIM.H. El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownershi p
CODE
OF
UTILITIES
Public El Private ❑
FUSE
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 IL O'C'
type of work will be complied with
Building
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
PI ing
performance of construction. SEE REVERSE
SIDE FOR REQUIRED INSPECTIONS
�
"r/
DATE OF APPLICATION Z
P SIGNATURE OF APPLICANT ill ��dG> — C ch.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
l�CQ',A it CO
ng Technician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
02* *1a00
* 1 0,00
372.8
04-21-80
-* 6479.
SEPA a
O
_ U
Mobile Home W
Other (Specify)
TOTAL $ IL 0,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 `4,'- 2 T= 8*0 37 2 9 z
DATE ISSUED PERMIT NO.
*10.0'Oal--j -
TOTAL