1983, 05-05 Permit: 83A-3716 MHNUMBER APPLICA-TION/PERMIT
SPOKANE COUNTY — UU10ING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. _.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ElMVE. ,
%, OF ,,��,,,,// ❑OTHER
WORK El BLD. ElPLMB. ❑ MECH. L�( M.H. ElPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
` of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8.
M 8!��Z— FEES COLLECTED
VALUATION IISOUOFCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. r%Q� UTILITIES Public ❑Private Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions injed
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governitype of work will be complied with whether specified herein or not. The granting of a permit does not prBuilding
to give authority to violate or cancel the provisions of any other state or local law regulating construction performance of construction. SEE REVERSE SIDE FOR REQUIRED INSP TIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLVCAN �/ / �z, �Mech.
PERMIT NUMBER
girt --3-7 t�
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
Planning v ,4IIT 1W
�61(e40 47- rg/S T;W,� SEPA c
lYQ Qctl
Fire Marshall l/1l��rL� ����� �.y' 77iyLr of Mobile Home �.S[.�L. `_'
G61, .7+ ✓ �j G��/G-�� �AISr)t5 iC,wPA) 101% IA) VjM)(' Other (Specify)
Utilities y TRrL 40,0=7 d/ I ` TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
'4 .zdi n PERMIT IS NONTRANSFERABLE 0'�,—=05_&3 37L6.
00,00 F
z
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 4. !B D
F.4l,eY
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2. /
I BLOCK
Z
ISUBUIV15ION
CeKr.,W-SITE
QST-4TES
PARCEL NUMBER/S
OWNER
PHONE
3.
u7T
ADDRESS
Q
j /{�
!i11E�V G--/.
`�
r/w
ZIP
02
Actual Set Backs in Feet
North r South 3o, 1,6 r 3 0 '
CONTRACTOR
PHONE
c3
Size of Par I
East West
Zone Classification4.
ADDRESS
ZIP 'f n
Type �Const.
Occupancy
Sprinklered
�a
SA L4
�
�jL(/,6
—
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
000A/1104
ADDRESS
ZIP
T
Maiinn F oo
/
Upper Floors
��
Garage Area
��
Storage
�'
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. _.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ElMVE. ,
%, OF ,,��,,,,// ❑OTHER
WORK El BLD. ElPLMB. ❑ MECH. L�( M.H. ElPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
` of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8.
M 8!��Z— FEES COLLECTED
VALUATION IISOUOFCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. r%Q� UTILITIES Public ❑Private Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions injed
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governitype of work will be complied with whether specified herein or not. The granting of a permit does not prBuilding
to give authority to violate or cancel the provisions of any other state or local law regulating construction performance of construction. SEE REVERSE SIDE FOR REQUIRED INSP TIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLVCAN �/ / �z, �Mech.
PERMIT NUMBER
girt --3-7 t�
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
Planning v ,4IIT 1W
�61(e40 47- rg/S T;W,� SEPA c
lYQ Qctl
Fire Marshall l/1l��rL� ����� �.y' 77iyLr of Mobile Home �.S[.�L. `_'
G61, .7+ ✓ �j G��/G-�� �AISr)t5 iC,wPA) 101% IA) VjM)(' Other (Specify)
Utilities y TRrL 40,0=7 d/ I ` TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
'4 .zdi n PERMIT IS NONTRANSFERABLE 0'�,—=05_&3 37L6.
00,00 F
z
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL