1982, 07-23 Permit: 82A-6356 MHPLAN NUMBER v
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
1.4-2
2.
3.
4.
JOB ADDRES
N
OWNERB2—
kKk4 0I.-074'
ADDRESS
Ffo)( 7 UJALiv3c-V 10-
c 0 NT RAcaVV
•
ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
S UBDIIAISION
Ce-.7.ton1 Jjsik
•
PHONE
��
f42r�
LIP
L8717) •
PHONE
PARCEL NUMBER/S 11
06205
Actual Set Backs in Feet
North 10 (South
Size of Parcel
I xF.
East '.30 'West
1 Zone Classification
ZIP
Ty tuns
pccupancy
J
I "r�
Sprinklered
❑Ves. ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation
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
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
O BLD.
O ALT.
O PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
o POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not q'd.
8.
9.
DESCRIBE WORK r "�
—°49
VALUNATIOSOURCE G S ELECTRIC
Q�5O OF
tJ✓� UTILITIES
Enum. Dist.
Location (Area)
WATER SEWER
Ownership
Public 0 Private 0
USE 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 the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS ,J
SIGNATURE OF APPLICANT 1Z�
DATE OF APPLICATION
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env
anning
Fire Marshall
Co. Engines
p?ESLC-4-
Ut II lt les
Plans Examine
SEPA Checklist
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL
100
$ ID °
PERMIT NUMBER
S-2. r -(013 Co
07* *10000
* 10000 ti
* 10000'6
A *000 0
63552
07-23182
2 6479
i
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01,7. 2).;=_;8i2
DATE ISSUED PERMIT NO. TOTAL
I'
6'356.5 *lib QD02:g.
0-
LJ -
WHEN
LL
Rice
7s. *