1982, 12-01 Permit: 82B-1533 MH PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDINt CODES DEPARTMENT '0./
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. P 7;91- /-"-�t �N LEGAL DESCRIPTION — SEE ATTACHED
2.4i
LOT BLOCK SUBDIVISION ✓ PARCEL NUMBER/S t!�t ..
4.0 4�WN�E`� nL-- �1�II ,-1I�� �y L/HONE .,A r;pz_I�O� r-) rv '/ * *' 5( 00
3. f t'i r TI�� �.��IVI�W -r1 �2- ✓ .. 5 ( 0 0
ADD ESS 72...0• I 1 Actual Set Backs in Feet ��,j
V. 1 h `4 6. North 1 !South East I O 'West ;
COONRA T R PHONE Size of Parcel I J Zone Classific tion
4. ADDRESS ZIP Type ons Occupancy 115fr.Sip-riGlere-r• ' "` 1 2= 0 1 " 8 2
❑Yes DNo ❑ Req'd. 7
DESIGNER PHONE Valuation Building Area in Sq. Ft. =- 64 C
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. 0 AD'N. ❑ U. . ❑ MVE.
7. OF ❑ OTHER
LLLReq'd. Rec'd. Not Req'd.
WORK ❑ BLD. 0 PLMB. 0 MECH. M.H. 0 POOL CERTIFICATE
of EXEMPTION
DESC IBE WORK '1 Enum. Dist. I Location (Area)
8 aF I y, r 1 S, 60
I1 I //// FEES COLLECTED
VALUATION SOURCE G S ` ELECTRIC WATER S WER Ownership �SE CODE
, �'0 OF l// Public ❑Private
9. f9500 UTILITIES V
/ 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.tiSEEEREVERSE SIDE FOR REQUIRED INSPECTION Plumbing
DATE OF APPLICATION 4/ c/I SIGNATURE OF APPLICANT -L-?rf .! e L�Aech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE (� i I� IJ %�j Plan Check
Env/ ea l'21 � �• 11N1`r�l��'Tr PjAVB U. JIV r f�
� y/Z�� / -�C �-Uv� 1 l�a� SEPA D
Ian re)), �✓
�"` -» �g ` n 7" elf i •A-7,,..e,:7� 5o -
+�' r 4 'x'` ,�� ,�s z� Mobile Home -J
Fire — c7 , �� .......44... —
C En eer 1 `,
�i�-1 [�i 6—,04 5V e � 2L /4/,--41'.
� Other(Specify)
ilities P50
Plans Examiner
(14)-i KO t Y e J t '�Q(, TOTAL $ �/
; IIH
' , .O \AC—ts2c +A Of Pck_ p 1,04 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist J 1 r THIS BECOMES A PERMIT.
,----- ' 1 O. O''C'Pig 0/1/4-5r)43`-6-44.. 0`V k.),..)k.),..) t -7//'1 12 0 1 -8 2 15 3.3 z *'5 0.0 0 ° p' _
Te - ¢ , r P IT IS TRANSFERABLE
. !' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
u � J i k 1
z 71
: -b s
f --
i
9