1980, 07-10 Permit: 80-6898 MHPLAN NUMBER -. •
e
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. COT - LOC
BK IiIV 6Ppoo air-4-4A'IC E. / 88 //
i. B2 .rl'a ;fa,
OWNER-y� -� (J PHONE/7n
3. t t,-tt !' it1. il.2l �[1 #� �t ��{'I,��7/t) .%',Gl d?tG'L-
ADDRESS / t�.G[.4JIYAta44LJ1 f9D...7
PHONE
��C,OXtrr',,NnTTR^A'' CTOrt
Q. ADD11-
RESS
441.1 4
DESIGNER
5. ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S fRTDQ„i52—D/Uq'
LOT// l3,Llf .'7 COAGr1 kin ga 7 -AS
Actual Set Backs in Feet '
North 7; ! 'Southµ..V Ea
0-40 / (West //
ZIP
Size of Parcel'no Classlficat'on �r�
Type Const. Occupancy Slarinklered
❑Yes ❑No 0 Req'd
PHONE
Valuation
Building Area In Sq. F
ZIP
CHANGE OF USE FROM
6
TO
Main Floor / Upper Floo
/g4R
Area of Decks Fi 'shegg Basement Unfin. Baseman
e 48.
Garage Area
Storage
TYPE
7, OF
WORK
❑ NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
❑ BLD. 0 PLMB. 0 MECH. A M.H. 0 POOL
0 OTHER
No. .Baths
NoT Stories 1 No. Rooms
1 7
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
DESCRIB W RK
iJ
- V`A,L(U_AION, SOURCE GAS LECTRIC
OF
9• .o—e')046 UTILITIES
Enum. Dist.
Location (Area)
WATER SEWER Ownership USE CODE
Public El Private
I heref,y 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 ,
DATE OF APPLICATION 7—,/a -sr) SIGNATURE OF APPLICANT -72244k
eJf�
SPECIAL APPROVALS
NAME DATE
Env.
/in/iso
Fire Marshall
Co. Englnee
Utilities
Plans Examine
SEPA Checklist
Buliding Te nia
-?Lep i aa4`cz4
SPECIAL CONDITIONS:
PERMIT•IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Req'd.
X
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
D6
Mobile Home /Lli)
Other (Specify)
TOTAL $ /Gr/J'
PERMIT 14UMBER
So -6898
02'* *h''ciao o
* n o'a o o
*ho0oo6
E *a00
68'9.t7�
o,7 -h 0-8a
3 '6'4.79.
WHEN MACHINE VALIDATED IN THIS SPACE
THIS BECOMES A PERMIT.
05':;7;+0=8;0 689.85 *10 aroa:� -
DATE ISSUED
PERMIT NO. TOTAL
,r.
LOT II
BLOCK 2
'
505'
COACH—L ITE
ESTATES
8
03
5.2
.1ft
37' TO CURB; GIPPROX,) 30'To PROP. LINE.
SY TO CENTER OF ROAD
80.oO'
GRACE I COURT
66E
r
At Wqm ER CONNE CT/ON .
S° PoWER CONNECTION.
C' .SEWAGE CONNECT/SN,
/l/NcHfS FRAM two, f+INCIjQS ito l S/oE.
2 FT, iOiw, IRON END, ' MCHE S F4oN SIOt.
'IiOFT peon END 90 INCHES FROM SIPt.
Casio a- ia6 v IFF. •