1981, 07-01 Permit: 81A-6593 MHPLAN 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 3 -COPIES
JOB ADDRESS
1. E' /� l G,egeC Caner
LOT B O K SUBD ISION
2. /2 2. damem- L,TE ESTATE
LEGAL DESCRIPTION - SEE ATTACHED
3.
OWNER
Co%4cW -L7rE lived
ADD RE5/(o/20 &is eiga
g (/keyin
4.A
PHONE
426 -7/ 7/
ZIP
99037
PARCEL NUMBER/S
Lar /a Bc.0
095$2 -via?
&4d//- L/TE £57117 5
CONTRACTOR
4. SA/'9E
PHONE
Actual SetL^sot/
in Feet
North r/o(./South 30J
Size of Parcel _
East ft/ 'West 3�
Zone Cla,s/sif!cation ��//
t. M' JJ • #4097. .
ADDRESS
SAr"?E
ZIP
Type font.
Q Ccupancy
5.
DESIGNERg
PHONE
Sprinklered
Oyes 0No 0 Req'd.
Area
In Sq. Ft.
Valuation Building
ADDRESS,
ZIP
Main Floor -6
/f4S
Upper Floors Garage Area
Storage -
CHANGE OF USE FROM
6.
TO
Area of Decks
Finishheed� Basement Unfin. Basement
TYPE
7. OF
WORK
NEW
0 BLD.
O ALT.
❑ PLMB.
O AD N. 0 RPL. 0 MVE.
O MECH. ,M.H. 0 POOL
0 OTHER
No. Baths
d
No. Stories
No. Rooms
7
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not Req'd.
DESCRIBE WORK
8. 1�/t&iLE NoNE:
VALUATION
9.4 coo
SOURCE
OF
UTILITIES
SJ�E,U
GAS ELECTRIC I WATER
SEWER j
Enum. Dist.
Ownership
Public 0 Private
Location (Area)
USE CODE
I herby 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 the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS 444b(//
DATE OF APPLICATION � --1 s'-8/
SIGNATURE OF APPLICANT
SPECIAL APPROVALS ,
NAME DATE
Env alth
/1 00/
P anning
Fire Marshall
Conglt g
Utllrtles
G,IAo/Sl
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Kp aRevackca, 9s2nftck- r2t�uvreQ &#-.QCs arca.
SravNa.av'Q a-QQro&QO. \\ -e o r 4KWQ
c% etro.Ge caskv k h w (.t OH.i tr-
trom ba -he 6i ? uArc- .ase , @ U' Sw•-et-I12 •
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home /00
Other (Specify)
TOTAL
$ /0 0
PERMIF•NUMBOR
'•' �l� - friJ'�-3 �
07* *10000
100.00
*100006
A *000
65'522
06=30'8'1
.g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
659,!'3=
PERMIT NO.
TOTAL
0
CJ
1\
L 0 T 12 - CO-LITEE TAT
9s oo '
,0/
fit
0
9
,0l
,zi
01
•
T
3o' To PRoPERTV LINE
55 ' TO CENTERF Rosin
9s: go'
GRACE COURT
YFl,et.cL 0Q5-S2-O/rq/ •
OWAJC.c:
Vert'. di
ccrancti E. /BSc/ CC'IX'.
07-15 US•NA*?J{
94CL 7