1982, 09-13 Permit: 82A-8135 Move MHPLAN NUMBER" APPLICATION,PERMIT,
PERMIT NUMBER
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
0 7* *50.00
+� LEGAL DESCRIPTION - SEE ATTACHED
* 5 Q 0 0
LOT BLOCK ISUBDIVISION PARCEL NUMBER/S
2. 15-
A * 0, 0 0
OWNER PHONE ! T V� FJ
'81 3.4 z
3' U 10,4-
•0�9.-•1
A RESSn Fee Actual Set Backs ZIP
�- 99 11/ , I y
. .,..FOt✓�{4/'V �d
iii 8 2
North . SouthEast West J�3
64%•9.
NTRACTOR PHONE Size of Parcel Zone Classification
4'
ADDRESS ZIP TYP`e',Const. occupancy. kl
(n`V/► ❑❑ Yes ❑No Req'd.
DESIGNER PHONE Valuativoered
Building Area in Sq. Ft.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
_
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
,
6. I
No. Baths No. Stories No. Rooms No. of Dwellings
.TYPE' NEW -1 ALT. El AD'N. 1:1 RPL. ❑ MVE.
7, OF�,/ ❑.OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. CJ M.H. ❑POOL CERTIFICATE Req'd. Recd. Not R d.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
s FEES COLLECTED
8.
-'.,..
VALUATION SO RCE GAS ELECTRIC WATER EWER Ownership USE CODE
-7 2
9: J J 0 1UTILITIEOS s� Public ❑ Private
, ,
Single $'
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 Building
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 Plumbing
L `C;
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE (K�p' L Plan Check
Env. Health I Ici,J 1'�/, '� i Lam✓.
///Z 1
�-
SEPA
Planning
O
0 r
LU
Fire Marshall Mobile Home
LL_
Co. Engineer Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
t .JIIQ.
—
ing n ian PERMIT IS NONTRANSFERABLE
.5'0cQ.d
,c
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED ;;;
PERMIT NO. TOTAL
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