1981, 04-29 Permit 81A-4108 Re-Roof ShedPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
DO
SPOKANE COUNTY — BUILDING CODES DEPARTMENT gt R _ 1
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT COMPLETE NUMBERED SPACES PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. A1. 1,3 C
OWNER
I—
�2 LEGAL DESCRIPTION - SEE ATTACHED
SUBDIV15 N PARCEL NUM`1 BER/S
PHONE IT_.)�i"3—i3 t
3. '1� u P1, c1L ' tZ.
ADDRESS ZIP
Actual Set Backs
`in.FeeSS�f�
N: L IN 1 IYVEGs —`` zll;, North SoutthLll East West
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ADDRESS ZIP T�onst. Occupancy Sprinklered
AIf��� ❑Yes ❑No
J ❑ Req'd.
DESIGNER PHONE Val ation Building Area in Sq. Ft.
,� �Z
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. '
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ALT. ❑ AD'N. RPL. ❑ MVE.
7, OF,�r(,/ ElOTHER
L
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE I eq'd. Recd. Not R 'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
,p
8 i�1< 1�LF�L� �f�CU 1� �tJ STD i7 taLa� �t IED FEES COLLECTED
�j VA�,L�,UATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
�. Jd0 UTILOITIES Public ❑ Private
Single $
1 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�7 .oC�
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
performance of construction, SEE
�REVERSE
S/SIDE FOR REQUIRED INSPECTIIO'f_N�S /'', Plumbing
DATF C)F APPI Ir.ATIIII\VL024A_ -1 OZ 7, ,% / gIr,NATI IRF CIF A P P I Ir:ANT�Yi� 54—•G/ Mech.
n
SPECIAL APPROVALS SPECIAL CONDITIONS:
3�E� t Tri �iEL u 1 NS?r.L ,rr,i
NAME DATE
lealth
ngineer
Utilities
Plays Examiner
UIn ician PERMIT IS NONTRANSFERABLE
4 T , I PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 17 co
02* *17.0.0
* 1 7,00 N
410,z
04-29-8'.1
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
04-24-"81- 4'1 Q8 Z
DATE ISSUED PERMIT NO.
*Tzo,o a �
TOTAL