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1982, 06-25 Permit: 82A-5383 Single Wide Placement
PLAN NUMBER 792.y APPLICATION /PERMIT SPOKANE 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 ,( LOT BLOCK SUBLA IgION 3. OWNER ��f y q^ ll p� ADDRESS 6AE 10- o1) C� N C VCS LEGAL DESCRIPTION - SEE ATTACHED 3 1)+4 WTI 10 TO F4Gt,TCff15c) AD. 23(o3 E rt r CONTRACTOR 4 `:410,A.& • ADDRESS DESIGNER ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK PHONE Wcv PHONE PARCEL NUMBER /S , 5y ✓- hl 3 i ZIP PHONE ZIP TO LI NEW ❑ ALT. ❑ AD N. ❑ BLD. ❑ PLMB. ❑ MECH. Actual Set Backs in Feet North / 0 0 'South 210 East 50 (West �C) Size of Parcel Zone Classification (2'j 3 1 O Type Const. Occupancy Sprinklered Oyes ❑No ❑ Req'd. V) Valuation Main Floor 6'1 Upper Floors Area of Decks Building Area in Sq. F Garage Area Storage Finished Basement Unfin. Basement ❑ FjyL. ❑ M V E. ��° M.H. ❑ POOL ❑ OTHER DESCRIBE WORK 8. `2A \ 3 k b& IMO in fA©nvE (4 x (9t-j VALUA ION SOURCE GAS ELECTRIC WAT OF 9. ('.SOON UTILITIES SEWER 4� � No. Baths CERTIFICATE of EXEMPTION No. Stories No. Rooms No. of Dwellings Enum. Dist. Req'd. Rec'd. Not Re ILocation (Area) Ownership uz,IJSE CODE Public ❑ Private 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 construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION {C��1./© / SIGNATURE OF APPLICA SPECIAL APPROVALS NAME DATE E�[[VVPlanning 41i7 Fire Marshall o.tnai Utilities Plans Examiner SEPA Checklist Building Te eci i SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home S° Other (Specify) TOTAL $ PERMIT NUMBER 07* *5000 *50.006 A *0,00 5382 06 -25 -82 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 5 3 8.3 06i -25 -82 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. *50.000.1- I i rpli i i , /,7eig003 22 ec/i 04',7R1 ' .oqe /3 7 Jii I ! I 111 /12_ //I 17ifi401 i, i„aC ye d I I I IN n 1 11 11 • 111 1 M 1 Iff ....01 .1 i1 0 p 1 • - I . 1 11 1 l Iim IP 1 lli 1iz mbi 111 , ii 1 I 1 1l 1 1.14 1 i 1 1111 11 1 Ini - " mum