HomeMy WebLinkAbout1981, 02-17 Permit: 81A-1555 Reblock MH PLAN NUMBER - APPLICATION/PERMIT PERMIT NUMBER
/ / SPOKANE COUNTY — BUILDING CODES DEPARTMENT 'i� 1 .
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS � V 2 * * 1 0 0 0
t -jLG � LEbAL DESCRIPTION - SEE ATTACHED
* 1000
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. a. ?` Of" a i�T 1-Z .. aLLL�J 1a * 1 0,00
OWNER PHONE bLiC 6 4110wOof AOCt iop! * �i co
3.
1r_{-�9-1, �,i)11 /..1w'>i {777 -61-V,71., v. J 0
ADDRESS ZIP Actual Set Backs i Fe�t 1 5 5.3 2
7'=Z . ".1a .,, I gEd iY1L1
L-�%1-. -t 1410.0 \ North Sou h East West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 2- 1 7--8„1
fir
1P ' '-3 l'._Di1:^z-frl.(.t.:.:i lb-0 i-✓41"1 -31 ivy "X 127 0E.6 `,41,6iL1.,,r1 lar' &
4. z 6 4 7 9,
ADDRESS n ZIP 1 Type Const. Occupancy Sprinklered
'2_0.61 N . A\Ae ET `'' L?-t`\ / 'frj [YL='a El Yes EINo 0 Req'd. 0 7 * * 1 0 0. 0 0
DESIGNER PHONE VaIt tion Building Area in Sq. Ft.
5. Ic1-2, egit * 1 0 0 0 0
ADDRESS ZIP Mai; Floor Upper Floors Garage Area Storage
rL .Lo * 1 0 0.0 0 6
—
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement (y * 0. 0 0 0
6. 4� G.tDV_F-" _ - - _
No.Baths No. Stories No Rooms No. of Dwellings 1 5 5,4 o
TYPE l� NEW l7J ALT. ❑ AD'N. ❑ RPL.' ❑ MVE.
7, OF ❑ OTHER 1. - t
WORK M BLD. ❑ PLMB. ❑ MECH. 0 M.H. I: POOL CERTIFICATE Req'd. Rec'd. Not Req'd. 0 2- 1 7-8 P
1
of EXEMPTION V 6 4 7 9.
DESCRIBE WORK Enum. Dist. Location (Area) v
8. f .7431. [IC f0EJ"<:v:;i_G 1.A..kOiff, 1'+l,YiL.._ 146J.AE ? 1440 Z--1.L:!:-; I FEES COLLECTED
/
I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership J USE CODE
9. AZ C'''''-9 UTILITIES t'.i(- Public I=1 Private 4d
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 4.IO.cx-D
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
DATE OF APPLICATION 2..- 7'" SIGNATURE OF APPLICANT / Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE r6 €J. `cvz.cif::' .14/D0 Plan Check
Env. Health "`
%t1.- R .1^•) ?)LoC. ( i_ -5r A t bp, () SEPA >--
Planning O
l ID ,L,0 `-'
Fire Marshall Mobile Home
exp
�0- —
ix.
Co. Engineer Other(Specify) '
Utilities
TOTAL $ (1.0 ;CC.)
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buil ing/Technician PERMIT IS NONTRANSFERABLE 0'21.'1 -11 15 5 Z *1 1' 0.0.0 °a
�#�( PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL