1981, 08-18 Permit: 81A-8215 MHPLAN NUMBER
APPLICATION/PERMIT ;
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509L456-3675
APPLICANT: COMPLETE NUMBERED SPACES PRESS HARD TO MAKE 3 COPIES
1.5 /ii/Z .47-et-CeC`�
LOT
2. if
OWN R �% 7
3. t'S "V-c'w ///if/. Gz
CC/ 7/z C.7
CO(N�_T,_R,A,CTO R, vL,
4. oREs1.ZD
BLOCK
2.
DESIGNER
6' ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
SSUUBDIIVISI/�7'��/y r,J
�`vGL/
PARCEL NUMBER/S •
. f'�2T. os5-572-clog"
PHONE
Z57o47
PHONE
1•Zi--7/%%
ZIP
5a '37
PHONE
Actual Set Backs in Feet S
North ' 1 0 'South
Size of Parcel
/10090
Type Const. /Occupancy
Cs" R 3
V luation
X33 oaD00_
East j 3'Y' (West
Zone Classification
8 fi
Sprin lered
❑Yes &NO 0 Req'd.
Building Area in Sq. Ft.
/3
ZIP
Main Floor Upper Floors
/344
Garage Area
Storage
CHANGE OF USE FROM
6.
TO '
Area of Decks
Finished Basement
Unfin, Basement
TYPE
7, OF
WORK
❑ ALT,
❑ PLMB.
❑ AD N. ,d'❑,�, RPL.
❑ MECH. IfMRP/.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
Z
No. Stories
/
No600ms
CERTIFICATE
of EXEMPTION
Req'd.
8. /7 WORK
QO
VALUATIONPP
9.33
SOURCE
OF
UTILITIES
GAS
Nfi
ELECTRIC
tUwP
Enum. Dist. I Location (Area)
WATER
SEWER
SEP,C-
Ownership
Public ❑ Private
SE 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 regulating construction or
performance of construction. S REV RSE SIDE FOR REQUIREDJISPECTIONS
DATE OF APPLICATION
SPE IAL APPROVA
N
,En He
nning
A
Fire Marshall
Co. Engineer."'
Utilities
Plans Examiner
SEPA Checklist
51 G N ATIR�E"OXIV�
LPECIAL CONDITIONS: '
- PERMIT IS NONTRANSFERABLE'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
Recd.It
Not Req'd.
Y
FEES COLLECTED
Single
Building
Plumbing
Mech.
$
Plan Check
SEPA
Mobile Home
Other (Specify)
00
TOTAL 1,1 $ 100 1)0
00
/0 0
PERMIT %n 321r.
07* - *1-04.00
* 10000
* 100006
A *000 8
821.42
08=18-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. .
t
01181-1'! 1'8.!,34l 8'21115,5 !1'0 0:0-0 a F-
1,
DATE ISSUED PERMIT NO. TOTAL