HomeMy WebLinkAbout1980, 06-19 Permit: 80-6012 Double Wide PlacementPLAN NUMBER
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 E., s5-24, QF E C 1�I...ic. AvE)
LOT BLOCK SUBDIVISION
. 3
Quo* tZleptiditiA
ocaz. I�EP� t1�7
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
3 Len vurA.e.c) \x1 co. wk.
ADDRESS
S! •piE
PHONE
PARCEL NUMBER /S
IBS44 - •z.3c3'3
ZI P
Actual Set Backs in Feet
North 40 'South .30'
4.
CONTRACTOR
S xa WIC.
ADDRESS
PHONE
Size of Parcel
ZIP
IRS 12'�•FrY,�C �.c_,
Type Const. Occupancy
DESIGNER
5' ADDRESS
PHONE
Valuation
ZIP
23, expo .-
Main Floor
z4x4e
Upper Floors
East 40' (West 30
Zone Classification
Sprinklered
DYes ❑No ❑ Req'd.
Building Area in Sq. Ft.
74X4-6
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
n NEW ❑ ALT.
❑ BLD. ❑ PLMB.
❑ AD'N. ❑ RPL. ❑ MVE.
❑ MECH. L'J M.H. ❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
DESCRIBE WORK
8. Lt-D, € iM►'1Or3t
VALUATION SOURCE GAS
j
OF
9. Z.3 c.�— t1TILITIES
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
Rec'd.
Not Req'd.
ELE 1� WATER
l'here lot ruSo/
CTRIC
SEWER
SE M
Ownership ,..,/
Public ❑ Private NJ
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 construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION a 9 - P.0 SIGNATURE OF APPLICAh
SPECIAL APPROVALS
NAME DATE
Env. ealth
J. Nan 6- /9-8o
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklis
Buildin. Technician
6a 09/9'
SPECIAL CONDITIONS:
�Att —re, dW YV 2
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building 4100. UD
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
SO ,c3t7_.
02* *100,00
*10000
51 092
05 -29 -80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
016 -19 48i0
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
601,25 *100.002
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