1981, 06-30 Permit 81A-6551 Roof CoverArrLIVA I PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
1.
2.
3.
SUBDIVISION
�W\
V
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
z>- 517
LOT
ow ry EAR
BLOCK
ADD f sf
5l7
PHONE
ZIP
4-10
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL
/ S
r[R7R I-jni
� . 201 / Actual Set Set Backs in Feet
North !South
1 1 z-
zI/2. 6/ccc
East 'West
Size of Parcel Zone Classification
Type Cohst.
Occupancy
DESIGNER
5. ADDRESS
PHONE
Valuation
oce
ZIP
Main Fl
oor
Upper Floors
Sprinklered
Oyes ❑No ❑ Req'd.
Building Area inrJSq.q. Ft.
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
8.
❑ NEW
ILT. ❑ AD'N. ❑ RPL.
BLD. ❑ PLMB. ❑ MECH. D M.H.
DESCRIBE WORK
VALUATION
1 i,
❑ MVE.
❑ POOL
?� ! t F' )
RCE ELECTRIC
SOU
OF
UTILITIES
GAS
WATER
❑ OTHER
x 2-
SEWER
T)
No. Baths
No. Stories No. Rooms
No. of Dwellings
CERTIFICATE Req'd.
of EXEMPTION
Enum. Dist, I Location (Area)
Ownership
Public ❑ Private
USE CODE
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
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 constr tion or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /2
DATE OF APPLICATION
SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
Env. H It.-
l,,lr` {�7I 1
Planning
Fire Marshall
Co. Engineer
Utilities
PlansfExarpiner
SEPA Checklist
SPECIAL CONDITIONS:
Rec'd.
Not RRfI'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
I?
02* * 1 7,00
* 1 7.00
6550�
06-30-8.1
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Bui chy+in) c
65:5,1Z *17.002F2 —
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DA PERMIT NO. TOTAL
PERMIT IS NONTRANSFERABLE
'011 _ _ $ ,1,
TE ISSUE