1980, 07-25 Permit: 80-7623 MHPLAN NUMBER . _ I APPLICATION/ PERMIT PERMIT' NUMBER--
7l0y/8 SPOKANE COUNTY — BUILDING CODES DEPARTMENT eo W'e-3
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
❑ OTHER
No. Baths
1Z_1
LEGAL DESCRIPTION - SEE ATTACHED
No. Rooms
No. of Dwellings
LOT
BLOCK
BDIVISIO
PARCEL NUMBER/S
I
V '3---
OWNER
PHONE
DES,CRIBU WOR
3.
ADDRESS
ZIP
Actual Set Backs in Feet r _
v
/ Q.
North South 'c Eas West V
CONTRACTOR
ASqWER
PHONE
Size of Parcel
Zone Classification
9:Z51 -7j7/
X 1:Z&
4' ADDRESS
ZIP
Type ConsU
1. Occupancy
Sprinklered
^,,���
❑Yes ❑No ❑ Req'd.
DESIGNER ' t -
PHONE
Valuation
Building Area in Sq. Ft.
5.
-7XZ8
ADDRESS-
ZIP
Main Floor
Upper Floors
Garage Area
Storage
I
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
----
—
--�
TYPE��
IIS NEW ❑ ALT.
7, OF
WORK ❑ BLD. ❑ PLMB.
❑ AWN. ❑ RPL.
❑ MECH. ❑ M. H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
1Z_1
No1 Stories
No. Rooms
No. of Dwellings
CERTIFICATE
Req'd.
I Recd.
Not eq'd.
of EXEMPTION
DES,CRIBU WOR
Enum. Dist. Location (Area) FEES COLLECTED
ALUATION
SOURCE
GAS
ELECTRIC
WATER
ASqWER
Ownership
USE CODE
9. 41� 1000 UTILOITIES —*–&P /' Public 1:1Private 01
Single $
1 hereby certify that I have read and examined this application and hde read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing thisBuilding
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 / 1 Plumbing
A
DATE OF APPLICATI
SPECIAL APPROVALS
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
,86.41 ACT 1IA001?0AW< a.9u Sc./37d ✓is�oN
�8 f� ffErK,y.�
Mech
Plan Check
02* *100,00
*10000
* 1 00.006
E *0.00
76222
07-25-80
6.479.
SEPA
C
Mobile Home
L
Other (Specify)
a�
TOTAL $ IDO
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
U'71' 5 -I 8 T71bb 2,'3 1 �. �C�I
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMI AL1'
W
0
JOEL ROAD