HomeMy WebLinkAbout1980, 08-26 Permit: 80-9114 MHN NUMBER APPLICATION/PERMIT
NSPOKANE 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
1. 5.213 /XenlPlo9
Zone Classification
LEGAL DESCRIPTION —SEE ATTACHED
LOT
BLOCK
ISION
4.
PARCEL NUMBER/S
2. -7ISU
i
sa.�E 1/�azcE ESTi9?�s
ADDRESS
ZIP
OWNER
PHONE
3. .Jo !J• C'o
9 -6�S'?7
lq 5Z - //0 7
ADDRESS
ZIP
Actual Set Backs in Feet
S- Z/✓2
9?10/
North -SI37' South .. / East 33 West 30�
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
S lnE
O /Z7
/�% SCE Aloz77
4.
.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
sj lwc
❑Yes []No ❑ Req'd.
DESIGNER
PHONE
Va nation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area Storage
/ 79Z I
CHANGE OF USE FROM
Area of Decks
Finished Basement
Unfin. Basement
6.
T37--
TYPEeNEW ❑ ALT. ❑ AD' ❑ RPL. ❑ MVE.
N.
No. Baths
No. Stories
�
No4. Rooms
No. of Dwellings
El
V
7, OF �J OTHER
1:1 ElPLMB. ElMECH. ❑
CERTIFICATE
Req'd.
RecPOOL
d.
Not Rgq'd.
WORK BLD. 11� M.H.
of EXEMPTION
V/
DESCRIBE WORK
Enum. Dist.
Location (Area)
8• LI- ZA)1,067 1,210531,6E 1wi Z Co
FEES COLLECTED
VALUATION1
SOURCE
GAS
ELECTRIC
WATERSEWER
Ownership USE CODE
9, 3% 000
OF
UTILITIES
I
PrjC•
Public ❑Private
Single $
1 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
DATE OF APPLICATIO SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
/Plan Check
Cty%i�4 7-0 �UU6/Z JAIA04'
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
�chnician - PERMIT IS NONTRANSFERABLE
a zr-g® PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile HomA1� • 00
Other (Specify)
TOTAL $ /Go- Qt
PERMIT NUMBER MR
80-1//y
07* *10000
*10-000
*100.00c
E *C.00
91 1.3R
08=26-80
-91 6117'
r�r
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2,6'MP 0,
9 1),4' C3
DATE ISSHFD PPP—
It
m
3� New /hake 3