1982, 09-09 Permit: 82A-8011 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. , I 6rAC;)%19
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
i
3
4.
SUBDIVISION
�15�IONi ij(47c
°:—IM 01 J
Al?REo4- Atom
CON Of;e
ADDRESS js-/II
PARCELNUMBER/S 17 r/ — 0508
PHONE
9�7 -8730
S 12,a\ -J
IP
Actual Set Backs in Feet
North 17 'South 10 (East
'West
PHONE
Size qf Parcel
Zone Classification
ES la .fA • 1-10 ^0
ZIP
Type 93nst.
UN
5.
DESIGNER
PHONE
Valuation
Q ccupancy3
'iNjl
Sprinklered
Oyes 0No 0 Req'd.
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
.Unf in. Basement
7.
TYPE
OF
WORK
J NEW
-0 BLD.
O ALT.
O PLMB
O AD N.
O MECH.
❑yRRPL. 0 MVE.
LI M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Roorns
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not R�d.
8 DESCrjo /VW I/• 1+0111+011L ( 14,,c70
M IELECTRIC
VALUATION SOURCE
9. I��0 UTILOITIES
GAS
Enum. Dist.
Location (Area)
WATER
SEW R
Ownership
Public 0 Private
USE CODE
I hereby certify that 1 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,J //
DATE OF APPLICATION/cti-/4 —7 -1 -SIGNATURE OF APPLICANT9yu.Gl QTX�U4,- ) '
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
Fire Marshall
Co. Eng eer
.r'i1C7J� D X62
Utilities
-I 4116!82
Plans Examiner
SEPA Checklist
r�%evek 4 t� aek � `�kl
Lrt� �tu ) Pau cD. w (,.Qy\ (21c100 - is
Cith\ or &Tart e. U3%* 40\)e9.a'%*
I .
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 50
PERMIT LUMBER,'
s - 80 I I
07*
* 5'0'00
* 50,00 rn
2'87.0'2
04-1 6-82
'R 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
I.11 ' ; ' 1r .
019,,;.^10'9,8,2 8011:Z' '*S0..002g.
DATE ISSUED PERMIT NO
TOTAL
0
n
0
0
0
0
•
%9'
dams
Tr
'
moo~J i-3 C o
l�lbH H
x
cf
r. tr
0 _H l� .'17 .. VI
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