1983, 07-19 Permit: 83A-6644 MHPLAN NUMBER I APPL IGAT ION / PERMIT
SPOKANE COUNTY — DEPART64ENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
ADDRESS
ZIP
APPLICANT: COMPLETE NUMBERED SPACES —
PRESS HARD TO MAKE 3 COPIES
,.
STREET All
, i5 rl-cr�c��
PARCEL NO.
2
L,
K
SUBDIVISION"
UBDI IISSIO`NN i �
LEGAL DESCRIPTION:
OVVNER I,
G O'r
New Const. Valuation
PHONE
3.
fg',
MAILINGADDRESS /
��()c')�� 6
-7 /�
z v
Actualt Backs n Feet to: _
North South East West
Floors
CON T
Greenhouse
LICENSE EXPIRES
PHONE
Size Ifcel
�
Zon Classification
4
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basem
ADDRESS
ZIP
TypeCgnsQ
Ocpupancy
Sprinklered
V N
Dyes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basem
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE EW El ALT. ElAD' N. El RPL. 11MVE.
7 OF ❑OTHER
WORK ❑ BLD. ElPLMB. 1:1 MECH./u M.H. ❑ POOL
CertIfi.ofExempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes❑ No❑
r DES RIBE WOIRKK
8.
Shorelines/ Flood Hazard
Plans Required ❑
LXX
Yes❑ Not Applic. ❑
Received 1:1
+ VALUATION
SOOFCE GA
ELE RIC
PUBLICR2
SEPWTIIC E
Ownership
FEES COLLECTED
9•
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Privat
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
Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVEWJE SIDE FO EOUIRED INSPECTIONS
Plumbing
SIGNATURE OF APPLICATION #7
OWNER OR AGENT �• DATE /
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM FINAL DATE
Plan Check
Env. Health
40 SEPA
Planning p
"(P`rC CL CQ, MFG. Home
Modular/ 100
Fire V �
Engineer 7 Other (Specify)
Utilities ( C (�J0
TOTAL $
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDAT
Plans THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building � I N 180 DAYS t 7 1 9_ 8 3
Tech. ( 1 LASS D'
7l DAT UE
PERMIT NUMBER
PERMIMJ�. nG * O �I, O *&AL
iZ
O
V
W
J_
U_
Y V .
d •_
u N49'OO oo" 1.10
/v L;.. • oti I a,�a�
'
five
-moo=
00
a I
I
�p2
s
loses
6� w
I
I
I
I
C
n
I
I
I
I
C
n