1983, 08-30 Permit: 83A-8371 Sign InstallPLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
CAPPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
JOB ADDRESS
. E. 12509 Mission, Spokane, WA. 99216
LOT
BLOCK
SUBDIVISION
OWNER
3 Ron Moland
ADDRESS
E. 12509 Mission, Spokane, WA.
4.
CONTRACTOR
Heath Northwest, Inc.
ADDRESS
E. 411 Sprague, Spokane, WA.
DESIGNER
5 Same
ADDRESS
CHANGE OF USE FROM
6. Office Buildin
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
PHONE
928 -5750
ZIP
99216
2199202
PHONE
ZIP
❑ MVE.
❑ POOL
ZZ OTHER
DESCRIBE,WORK
. Sign_ Installation
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
10543 -0258
Actual Set Backs in Feet
North South
Size of Parcel
Type Const.
Main Floor
Upper Floors
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
48 sq. ft.
Garage Area
Finished Basement
CERTIFICATE
of EXEMPTION
Enum. Dist.
Ownership
Public ❑ Private ❑
Storage
No. of Dwellings
Location (Area)
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 rel. 4 ting construction or the
performance of construction. SE REVERSE SIDE FOR REQUIRED INSPECT!' L S
SIGNATURE OF APPLICA
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
SPECIAL CONDITIONS:
Planning 464M-• 34 3 Z I- CJ 5 4s4 qt. I r' 1, t ..W P,
ww
Fire Marshall
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
NEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
)5A 4g3-7
02* *47,00
05* *3000
*7700
*77000
A *000 ES
837.02
08-30 -83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 8 -13T -8'13
DATE ISSUED
83712.
PERMIT NO.
*77,0.0 �;. -
TOTAL
ADDRESS
INSPECTION RECORD
DATE REMARKS
-.2, /'i r c& /2'J
t•
NvmSER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH011 /EPPERSON r SPOKANE. ww1NINOTON .700 / 14001. 14.16
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
pa ADDRESS
0. C. 12509 Mission.
7
Spokane, WA. 99216
LEGAL DESCRIPTION -SEE ATTACHED
N
BE /S
EEL 10543 -0258
Ron AMoland
928E 5750
1
AOORESS Mission, Spokane. WA.
E
99216
�I 1s.,. Poet
�F•I1 0 'welt
CONTRACTOR
Reath ttorthtrest, Inc.
455-8666
su. ar Mcu.Vn.alaa
L O
C. 8411 SPrague. Spokane, WA.
i199202
Type canO.cao.n ...
DT.. One LID R.O.O.
En
DESIGNER
.NONE
eu48aa Ar. in . fpn.
v.1S2100.
S woowcss
IP
ells new Gasses Ama SOS..
P T0.
GRANDE OF VSE FROM 1T0
t Office Building _
Area 010.00. I rinlop a.Nnws I 01110.1.. 14.01
t V• ONE+ 0 ALT. 0 A014. 0 101 0 *L
7 F mOTNER
D •10. ❑ w ❑ M ECK D *AR. D root
Na •n. I No. S1*0.. NA Room es ow. .
II .c
CERTIFICATE p0 I a a tiot pd�AA
el EXEMPTION
0ucamswoRws
d Si n Installation
asu DIR. 11044000 I..O
FEES COLLECTED
style
woo: VALLIATI
r GAS 1 ELECTRIC WATER 1
9.121f10� T1 Esl SEWER
USE CODE
ro ••• 0..11. D 1
• 4•000 ce40• 100E 11uve read and 000,110001 this application end have mad the
on aide, and knows U0 tame 00 be true and Correct Alt provisions of laws
typo 01 at wit he complied with *Miler specified herein or not. The granUn
1* eve sum0rit0 to violate 00 cancel the provisions of eery other slate or local law
of ConstmctiOO.S REVERSE SIDE FOR REQUIRED INSPECT i_5/
'NOTICE" provision, included
and ordinances governing this
f • permit does not presume
r ... ling Construction or the
= 1
i
L{7
0Vl0lna �1-.`
elwMire
seelpmance
DATE OF APPLICATION y- O 0 SIGNATURE OF APPLICAt ,g.......,........eall
Wes.
SPECIAL APPROVALS
NKME GATE
SPECIAL CONDITIONS:
Va.-21 -85 Ar aevr d V 1 6 63 (SEE 6,,p, oJgEPA
w TT Y • +A,S6)
w 0, It 30 —,
4 air ,
Mobile Nome
t... u.,.qu
0001ISPSi001
/ /FM
/..
TOTAL S
`85A °" g37 1
020 .4700
05. •3000
•77.00 5
•77008 -
A •000 8
637.04
08 -30 -83
4 6479
viSed plot plan On nle with una epplIcnu