1980, 03-17 Permit: 80-2396 MH CoverPLAN 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 4 COPIES
JOB ADDRESS
N • 32,o BU T'L_E&.
LOT BLOCK SUBDIVISION
2.
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
W • SPCNC E2
PHONE
92A- 1822,
PARCEL NUMBER/S OSJ //�{-060*
paor LOTS /-2 L34,t -sty 7S 0rAf'"
Os LOT /'F.5Ly, 7,S'OF NLy, 2ySrOF f"-"-
kyr
Lti.oT Q [::RAND V/.Eul ACRES
ADDRESS ZIP
N. 32.0? A uA rba sprwANF
Cp NTRACTOfi PHONE
4. lf}i(iV(� V(�IifA LQiI.LAFiIl� S[I(il/l AJ /i1-l9-069/-'�
ADDRESSZIP
h J // / moi! p .a.NL_ 99 7
D SIGNER - PHONE
Required Set Backs In Feet
No
South
ast 'Wes
Size of Parcel
Zone Classification
Type Const.
I/ -ft/
Occupancy
IAI
Sprinklered
❑Yes ❑No 0 Req'd
Valuation
$600o%
Building Area in Sq. F
1500
ADDRESS
ZIP
CHANGE OF USE FROM
6.
TO
DWL Area !Basemen
Split Entry
Area
Garage Area
Storage
1500
Split Level
Rancher
TYPE
7. OF
WORK
X NEW
BLD.
❑ ALT.
❑ PLMB
❑ AD N. 0 RPL. 0 MVE.
❑ MECH: 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
CERTIFICATE
of EXEMPTION
No. Rooms
1
Req'd..
Rec. Room
Recd.
Not Req'd.
1---
DESCRIBE
•
DESCRIBE WORK
8. MOBILP NOME
VALUATION
0
g. x3600
coVER-
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
wvsnNH
I hereby certify that I have read and examined this applica ion and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correc . All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.
DATE 3—i7 -Fe)
SIGNATURE Ox_N2,,Lezt,
DEPT.
SPECIALAPPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
JHOME OWNER'S WARRANTY
YES ❑
NO ❑
SPECIAL CONDITIONS!/
PLANS APPRoljeD 3/, 7)7t, Thomas ros lietvAlt
/\ - , WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
a�- c1,v1Anova. 03,711.,5'_$"0`
FEES COLLECTED
Single $ /
Building SADa
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ ,&ga
PERMIT NUMBER
c6o - a3G
DATE
02* *5600
*5600 173
*56006
E *Q00
239.52
03-19-80
6179.
DAT &L in OFFICIAL
•
APPROVED FOR ISSUANCE
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