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1980, 08-27 Permit: 80-9218 MH PLAN NUMBER 1 APPLICATION/PERMIT PERMIT NUM.BE?. n1 2O7 I We ilso SPOKANE COUNTY — BUILDING CODES DEPARTMENT 160 - 9 e..../6?J ,1 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 �/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. 5��0� LEGAL DESCRIPTION — SEE ATTACHED 0'2* * 2 4 2 0 0 tii LOT BLOCK SU:■ •� C)(�N w A PARCEL NUMBER/S pT ,2.3,5-3,:„; k 2 Z C}p 2.`7 ._ � /(,•[„�/� �' a , 2�V,�.r/-!�,,/ ©�i! Y OWNER PHONE LoTs 3--,z 0.4-1(2 * 2 4 2 0 0 3. `. .4t." 1)Z .6-,..:3 -674-.2/ 404 i x._ZIVLS ACar)Jr/4W E * 0. 00 YADDRESS nn y//, / ��/ ;j ZIP n Actual Set Becks in Feet e_ .�"n 2U q C - .XV 1Fi 444.(.L4(t' 4/ .'t I North 'South t� 7 East ✓O * 'West/ � 9 2 7 IV�TRA4r-TOR PHONE Size of Parcel Zone Classification 0 8-2 7—8 0 4. �-Ca p >z Or'k /_"`4 ttL LL t Al .4J _ 6,4 7 9, ADDRESS ,S ((13 0 14, -0�' a/.:� f4,i Type Const. Occupancy �.z_- 33Y ❑Yes ❑No Sprinklered❑ Req'd. DESIGNERPHONE lLJ{ /fir 1� PHONE Valuation p� Building Area in Sq. Ft. 5. if 0.5-e,' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage e _ _ CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. _ TYPE No.Baths No. Stories No. Rooms No. of Dwellings 7. OF K1 NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ,r 1 . ❑ OTHER WORK ❑ BLD. ❑ PLMB. ❑ MECH. 0 M.H. IIIPOOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK Enum.Dist. Location (Area) ' 8. fr. 1 I FEES COLLECTED VAA UATIO e,SOURCEOGAS ELECTRIC WATER SEWER Ownership USE CODE 43 7,eA9-- UTILITIES Public 0 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 —Z'`J4�:` 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 X/9'-gv SIGNATURE OF APPLICANT X' may' Z"a' - Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check En �Ith 9/A / &e v/a-CJ e sA0D-- �A/ 7 �{*-'P'� e / — -c. SEPA >. Planning OU _ Fire Marshall hp ( �`4....e►v� 9��3 �C Mobile Home JL Co. Engineer 6( ? + ✓ 4 _, CCia-,7 Other (Specify) Utilities ' ^0 TOTAL $- • Plans Examiner 701V1 hGH.—�/.-itfikr'c/27 WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. B din�Tec nici 1 PERMIT IS NONTRANSFERABLE 0 8 i_2 (''`81O 9 2'l8 °z k'2 4 2. 0 0 nD �a�C�J�'L) /a- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL A///VT;.' toT '! 1_4,73 . V4 ' T e-- __ .5-0 la''_ S O 'o . T- i ] V -q N f�'V -ri <-4-0 -- — — 6D=a" 30-0 -4- 1f • A7cE'e' 3 Becky.eam /7gr4.se Sr-rtcl 10- i\ D 6-arel Q _ Z��/M ^'l K(t Boi-se"era II/XS-44N (Boise CascaAie1'1oci„c1a.r None) ,' --12-r 04^�+ 900 et <5, Y (ro '' .i Ii..-0( i� � F of - ' b' T Vr_ ' r, �' C - (/' ( — NS-f�— - -- - 1 I I I • i N "1 13 ' I I I 1 I I I I i 1 I Q' f i 4 VeN . kl, I, ti • 4-X 1-5-77r77l ' z2 'x 22 ' I a.rek,9`o Fr..",c 09 nrr 4r4Ses s-4.,14 A t THIS AREA FOR USE BY APPLICANT FOR LEGAL TAX SEGREGATION APPLICATION FORM DESCRIPTIONS AND DRAWINGS. USE REVERSE SIDE IF NEEDED. (Applicable to the division of one or more parcels of real property into two or more parcels under different ownerships, also applies to ') a aggregation of parcels.) PezA.c.a / L„ 7 Qy 2" NAME p4r / 12-44-+r? ar d/o.t. ADDRESS E -- 976 A V 2. 1 -y o ie i PHONE NUMBERS09-�q—/ DATE g- / I g0 Pet}i-e-zi r ` / + L '6`''"" �— DELINQUENT j� ` A/0-I24, TAXES PARCEL NO(S) 2 3 5-13 - 1 O 0..5- I. Enter legal descriptions of all portions to be segregated. Also include legal description of portions remaining (use supplemental sheet if needed). •r! 771 II. Make drawing of entire property. Indicate approximate dimensions '� of all property lines. Indicate on which portions of property any S'o',1 45'D1--> 5-c) r--* �JE {4/•+ t buildings should remain. If a copy of a survey is available, please attach to this form. • III. This application is to be completed in its entirety before processing. NOTE: The approval of this application by the County Assessor or his appointee shall not be construed as authorizing the division of lands for the purposes of sale or subdivision in violation of RCW 58.17 (Plat and _ 4v. 1._01 , oT vT Z- DoT / Subdivision Act). The taxpayer is hereby advised that no segregation will tak e until this form is completed. Applicant Signature