1981, 08-25 Permit: 81A-8540 MH PLAN'NUMBER APPLICATION/PERMIT PEI� IUMBER
/� SPOKANE COUNTY BUILDING CODES DEPARTMENT (a�.f
l.� NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 7 * * 1 0 0.0 0
1. 7 114 0
LEGAL DESCRIPTION — SEE ATTACHED * 1 ,0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S ,l
2. 10 A�'1 Ni lelo ' � .1 — 14.1 * 1 0 0,0 0
3.
OWNER K 1,Nvi t -r PHONE
z�,A--- A * 0 C) 0
ADDRESS �! Vel/� IP Actual S t Backs in Feet r 58 J 4 c
rl-(• I 3>< I 1 Y North �? 'South East �C IWest
CON Vii'' PHONE Size of ParcelZon Classii icatio 6 0 8- 2 5-8 1
t7id 1'rV -2 I !�f/J V- M •
4' ADDRESS ZIP Type Gonst. Occupancy Sprinklered b" 7 g'
,V/ ' '27 Dyes ❑No D Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE �L`7,// No.Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. ❑ 7L. ❑ MVE.
7 WORK 0 BLD. 0 PLMB. D MECH. H. ❑ POOL ❑ OTHER CERTIFICATE Req'd. Rec'd. Not R 'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. Location (Area) T
8. ' A O6 6 r/ 62-21-
x 5�
I FEES COLLECTED
) 1
VAL`U'`ATION f�/ ^ SOURCE GAS ELECTRIC " WATER SEWER// Ownership /USE CODE ,.
9. �IJQ� UTILITIES W' IU Public ❑Private 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 INSPECTIQNS ? Plumbing
A7/
DATE OF APPLICATION F7-,,-.7
/ /A. l
r SIGNATURE OF APPLICANT�j`-�)2Q '11 .413,.-Q, Mech.
CIAL APPROVALS SPECIALfCONDITIONS:
NAME DATE Plan Check
En H h
'S�2,J SEPA rt
Planning pU
Li.,
Fire Marshall Mobile Home I p� _J
1
CNC'ginee74Y 8/ Other (Specify)
Utilities ��^
TOTAL $ C�
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
��Buil . g Te ian PERMIT IS NONTRANSFERABLE �0i'a1�`Z 5 �8.1�' 8,5.4 0 Z " *10a.� Q a -
%� 7 'Le PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
COUNTY OF SPOKANE
SPOKANE , WASHINGTON
SPOKANE COUNTY BOARD OF ADJUSTMENT Case No. � - /0_8
Date: • 3C.
CERTIFICATE OF APPROVAL FOR ADMINISTRATIVE VARIANCE
1 . Name: .�,',&3E.
2. Mailing Address: E , /75 9q• v/(
3. Legal Description of Property:
LDT 10 bl..IL 3 ,A wit va I La 7
2S ,
4. Administrative Variance Requested: NELI44 F2aM o�A/,J�9wcL
S CTt0 N ,oc A . 0 7a b) 1 . ve b e►u►e s a 4a-!k&e L e
S S ( - 4PA44
- e vbcc Wo — v icc-pssoY'ti
''Io` '>�ac-f G A.IZa c1� s4 `14 -VA-tv ca-v�shv���-e (29" 'ham
�C5. Approved y Zoning Adjustor on
l �cr
S7 . ,36 /6P/
)111 �
— Lt),