HomeMy WebLinkAbout1981, 08-19 Permit: 81A-8282 MH PLAN NUMBER PL�RMIT N'ilMBER
g 1 4 - V2
_ y2 / - APPLICATION/PERMIT �Sl a_�z�L
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
e..... NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB1. ADDRESS
�)- 1�-rA P,ole
LEGAL DESCRIPTION — SEE ATTACHED 0 7 * * 5 0.0 0
LOT BLOCK SUBDIVISION I PARCEL NUMBER/S '} I"/� „ �/ � * 5 0.0 0 rn
2. ►Ch iI\Cl-rcl. APO. -1(3 HJI -1-id . AI t ,,..„ / I I Y/
OWNER PHONE IV • 2-c7 O cp 8 0 9, 1 g
3. 'I'JVJIfJ t. r'[�"(I� y'-r `124--.4i:),' 1 , 5 08- 13-81 1
ADDRESSI .7----."
� PActual Sett Backs in Feet
.� I.2---(..- I I'p� /�r1 % L"" [E3 North I 'SouthEast 'West -2 6 7 9,
CONTR CT R PHONE Size of Parcel Z Classification
a. ' ; ne INt . 51_16,
ADDRESS ZIP Ty\tt �n t.� Occupancy Sprinklered l
2,-7_, Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valu ion Building Area in Sq. Ft. 0 7 * * 5 0.0 0
Po 1
5. 3' 24 SZ * 5 0.0 0
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
la% 809,2
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
08- 13-81
,�,// No.Baths No. Stories No. Rooms No. of Dwellings
TYPE �J NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. i 4 6 4 7 9,
7. OF �/ ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. M.H. ❑ POOL CERTIFICATE Req;d. Req'd. Not Req'd.
of EXEMPTION
DES RIBS WOgK Enum.Dist. I Location (Area) T FEES COLLECTED
8. (71 lit 'C , J A .�">'
VALUATIONl
/y� SOURCE G S ELECTRIC WATER SEWER Ownership �/USE CODE
9. I?CVO UTILITIES ,:' -:',.r.11(.., Public ❑Private DD'''
Single $
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 Building
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 Plumbing
Ql
DATE OF APPLICATION /477 /SIGNATURE OF APPLICANTLI---""----- Mech.
SP IAL APPROVALS `� SPECIAL O DITIONS: y
a' NAME DATE 1r� 1245t-42'0,NCaOtDV. tiHT C 1 ) L�'�y1) rC � cy Plan Check
Env e h � p, .1 1 I vTy'.r17 I I '61V ' It I� . \ ?-
�._-- _ j 1.% Pit/
y��1 `� �]/ SEPA n_
ing l g`ffIf Y1 7� r�fCD
e TM"' .11/1."" all-- Si Cf' g 3_8i iLit4 1 i LO-elkAwt
Mobile Home100 -�
,�,;,,� I ;/' vl' 30/
Co ngin -� ��" , �. ; �`ler (Specify)
< Ic• ei5lt 1
Utile ies -j i,.l `�
r 'i TOTAL $ 6V
Plans Examiner 14163-it A-,1
girt• Alt flit"-y/
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Te iici r PERMIT IS NONTRANSFERABLE Q`8i•• .9'•i•8 1 8 2 &2 1 *1 0 0.0 0 T. F
---------4. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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