1981, 04-20 Permit: 81A-3739 MH PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
C.... J NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED 0 3 * * 9, ( 0
1- c‘` 70,2,2 L.
LOT BLOCK SUBDIVISION PARCEL NUMBER/S.24,5_1) -- Zqp/_ zyU;L `' `; ( 0 vi
2./ --Z St ., (('A�.r., i o r3 i----2 O.LK�s * 9. C 0
O ER PHONE
3. _,4-4-11/ 171. 9z?-,.5--/3-3 EMP/RE /-1E/CNTS' ADD/T/DA/ l ,'' O ( U C
ADDRESS �/A //�� � �ZIIP / Actual Set Backs in Feet _ _
7 u ..z IF.J..d., I<Li/ - 4 �J1.44_,_. 7 9�-D!O North ...Vii (South 117 East /L./ IWest24./ J `� ,i. `
CONTRACTOR PHONE Size of Parcel Zone Classification n
04-2 0
4' ADS■RESS Zip Type Const. Occupancy prinklered u_ 6,4 7 9.
44 riOVM-J -- VW R_ Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation dU Building Area in/Sq. Ft. ? * * 1 0 0 C 0
F-
5. 7+��1� /� 'c�� * I (. n ( ;0 �.
ADDRESS ZIPamain Floor Upper Floors Garage Area Storage -
Iz6t * 1 C 0 ( 0
CHANGE OF USE FROM TO Area of Decks� Finished B Bement Unfin. Basement (., Cc.
�j /)� Jlj/
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE (}t NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. / / �,
7. OF 0 OTHER Req'd. Recd. Not Req'd. ) ( —f .1
WORK ❑ BLD. El PLMB. ❑ MECH. A M.H. 0 POOL CERTIFICATE G '4
of EXEMPTION
DESCR E WORK 1 Enum.Dist. I Location (Area) f 4 C
8. 741.4-6--L& „ �a,d�li.ei-ebl., 2&I xo2 iFEES COLLECTED
VLUATION SOURCE GAS ELECTWATER S ER Ownership USE CODE
,G.- 2"-l.1TI LOITI ES Public ❑Private IX
/ Single 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 *g_62 gl 62
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 4-,2-d "-�/ SIGNATURE OF APPLICAN ' Pyr U- S-G" Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
/En v.ev/
` is ��( fzei SEPA
Planning (///-
Fire Marshall Mobile Home /ell)
Co. Engineer .._• Other(Specify)
-1 .Eiieins jfl�pJ
�tA4A9ukti,lAY e. 4e) /pQ!—
TOTAL
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bu din/�gJJTec nicia T �'� , PERMIT IS NONTRANSFERABLE O!41-2''6-181 3 7 /94 * 10 9 0;Q d H.
X v r Q.1 .e' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
4 -1"
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