HomeMy WebLinkAbout1982, 02-26 Permit: 82A-1326 MHPLAN NUMBER
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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
LOT BL CK 9‘StDIyil ION ♦ /
2. 1 ^ ���(,ONI Y it -CA
OWNER
3. y 0 J i1J • �c-6
o--Y
ADDRESS
CONT qc pR
ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
PARCEL NVMBER/S 171,52 DI +
Actual Sett Backs in Feet
North 1 r7 (South
East
onnsl IFa on
ZIP
Size of Parcel
Y7 I
Occupancy -?
Type Forst.
V�
(west g2
Z CI 'f" ti
Sp inklered
❑Yes DNo 0 Redid.
DESIGNER
6. ADDRESS
PHONE
Valuation
ai, 00000
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors Garage Area
•
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
tdiop 11-J
DESCRIBE WORK 1 %j4 -x P2-0)
GAS ELECTRIC
8.
O ALT.
▪ PLMB.
TO
0 AD N. ❑ L.
I
0 MECH. M.H.
❑ MVE.
O POOL
0 OTHER
Area of Decks
No. Baths
Finished Basement
No. Stories
No. Rooms
Unfin. Basement
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
NotAd.
VALUATION
9 ;.I 000
SOURCE
OF
UTILITIES
Enum. Dist. I Location (Area)
WATER
SEWER
Ownership
/ 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
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USE CODE
DATE OF APPLICATION
0 _ g-4—PQ SIGNATURE OF APPLICANT 0 Ott
SPECIAL APPROVALS
NAME DATE
tae,dls{I
Planning
2/26
Fire Marshall
Co. EngyuAer
Utes Q
2A-6 /h
Plans Examiner
SEPA Checklist
6i11td+*s9 echnicaa
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
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FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home IS°
Other (Specify)
TOTAL $ ��
PERMIT NUMBER
S M 132(o
07* *5000
* 5000 bi
* 50.006
O A .*000 8
132.5B
0:2=26 -82
B 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Oi2ik!�2 6 34;'812'
DATE ISSUED
•
1`3265 *5`0,00a,�
PERMIT NO. TOTAL
G.a�1y, ,4c/
Woo 'Po 6'vl •`E
7y y0 •
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