1982, 03-16 Permit: 82A-1873 MHPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY =` BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 6563675'
APPLICANT: COMPLET
E NUMBERED SPACES - PRESS HARD TO MAKE 3 -COPIES
1. JDi��DD RI jrO� �M�/ �V� 'NOVO
LOT - BLOCK SUBDIVISIU N
2. 4-- z- lad J ts-riv
ow
3.
ADDRESS - I N'/
`II�
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
833 -C '
CONTRACT
�-N
4' ADDRESS
ZIP
PHONE
ZIP
5.
DESIGNER
ADDRESS
PHONE
ZIP
PARCEL NUMBER'S 17 r7S2:- o1zb/ �1-
Actual Set Backs in Feet /1
North (South I 0
East IWest.�%c-/
Size
orfs Parcel Zo ne Classifj cation
I?/ ,c %i IYjSM Irtj
Typg Const. ccu panty Sprinklered
4V/`NI 3 ❑Ves ❑No 0 Req'd.
Valuation/Building Area in Sq. Ft.
0117
Main Floor/ Upper Floors Garage Area Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
LJ NEW 0 ALT. 0 AD N.
0 BLO. 0 PLMB. 0 MECH.
❑ RPL.
0 MVE.
0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not q'd.
DESCRIBE WORK
8. rh„i1 4- x
►)
VALU TION 5�
SOURCE GAS ELECTRIC
9 iQ 0:)0 OF
IS OF
Enum. Dist.
Location (Area)
WATER
SEWER
to
Ownership USE CODE
Public 0 Private
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
DATE OF APPLICATION �r�-�1SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
0- ?°' 3//1s-
Planni
Fire Marshall
fco. Engineer
ties
3) 1g2_
Plans Examiner '
SEPA Checklist
Bu
ech Ian)
SPECIAL CONDITIONS:
c' Su1c44 ..fle4f4R. C-ovala-a,.. i � ? c -t cor.
50-w rt'r so -yr -Ls tr re-b(&sf .4 r- �1
lh S`(-4114 tb61 p-6 s44 -In to t>•N U'f'bd�.1 p (Lea .
? v�k J rVet---I0-0-614 I b -s-4'0.496
e$ , c & o per - w v4 ti,.,. sA4-19
a -Q rooa o A-Cuniz Sc..C& SNS oA e ‘Ft
oaati .0.-u,r Pat mksSL1ti jc
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 $ y O
PERMIT NUMBER'
07* *50.00
*50.00 in
18342
03-16-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
OP iati(r58{i2{
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1.
1:817:3;Z
DATE ISSUED PERMIT NO.
*.'.5'a0OIL 1- -
TOTAL
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