1981, 09-16 Permit: 81A-9440 MH Cover PLAN NUMBER -1 APPLICATION/PERMIT PERMIT ;MBt?
SPOKANE COUNTY — BUILDING CODES DEPARTMENT BON-`1
140
` NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
l / APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
2 * * 62,CO
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
1. E. Co a -[TH * 2 C 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 6 2 C O 62.5-4) ., �IIV\V 4€ l 4K�s
OWNER PHONE A, * Q,Q' 0
3. 1 &) "-17:3Ci41E2 CV2P--SS-74- 2-4331 - 3«4
ADDRESS ZIP Actual Set Backs in Feet 9 4 J.9 z
...G bo... —7`" 41C-V .OG North 3S' 'South-. -j' East 30 (West 0-1 0 9- 6-'� 1
CONTRACTOR PHONE Size of Parcel Zone Classification
A--rt..." `3 r.2.....c_;� 5 4 E,4-2.c c 2. 50 x ins 'GRE s- e,Le Ke*-n€ 6.4 7 9,
4. ! ZIP Type Const. Occupancy Sprinklered
ADDRESS - —�g-1)
Nc . r iNIAR��T c\ct3--7) _ Q.-3 ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valion Building Area in Sq. Ft.
5. G.7, ltv0 1540
ADDRESS ZIP Main Floor Upper Floors ( Garage Area Storage
CHANGE OF USE FROM TO Atea--of-Beefts Finished Basement Unfin. Basement
6. t5dC 2..0..!ea
/ No. Baths No. Stories No. Rooms No. of Dwellings
TYPE
LIO NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE. k t
], OF „�,/ ❑ OTHER CERTIFICATE Req'd. Rec'd. Not R�q'd.
WORK L`7 6LD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Enum. Dist. ILocation (Area) ' FEES COLLECTED
8. niatatit_.c, Home Coc,.E 2�.x7.:: 1
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
r4°75G.r- UTI LLITI ES ^ i-kL, Public ❑Private Dg 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 C. -O0
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 .51-pr JS-; /981 SIGNATURE OF APPLICANT / -�..,-- R. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. F
e/-Cye // .l7 SEPAa.C)
Planning '/ 4-->
— CA
Mobile Home --1
Fire Marshall
y
Co. Engineer Other(Specify)
,
Utilities
TOTAL $6)2.Cce
Plans Examiner
ice..."+..% cN fl;.E WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildin Technician PERMIT IS NONTRANSFERABLE t gg� p r 9 a
�j+t, F. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATEOIS U' 16'10 PERMIT NO� O z * 6 24 rA�I-
. . ,4„,/ # 01 5/S-3/ - 3 //7
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