1983, 08-24 Permit: 83A-8202 MHPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, VGASHIN 33TON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1.
LOT
2.
BLOCK
Od
SUBDIVISION
OWNER
3 b A. kA
MAILING ADDRESS
7C --)Ont Ef
CO. TRACTOR
4.
ADDRESS
PHONE
LICENSE EXPIRES
5.
ADDRESS
DESIGNER
CHANGE OF USE FROM
PHONE
9?B ?
ZIP
-1
PHONE
ZIP
PHONE
ZIP
TO
TYPE P'6W ❑ ALT. ❑ AD' N. ❑ RPL. C' MVE.
7. OF WORK ❑ BLD. ❑ PLMB. ❑ MECH. L9'M.H. E POOL ❑ OTHER
DESCRIBE WORK
8. ctoI
VALUATION
9. 2010
SOURCE
UTILLIITIES
GAS
ELECTRIC
WATER
PUBLIC
PRIVATE
SEWAGE
SEPTIC
SEWER
PARCEL NO.
2_4S-34 _ 631',
LEGAL DESCRIPTION: Lk Z2 ; 2 _ k•E
O� i3 r✓ -ac a w v� -13A e k- )4D
Actual Set Backs in Feet to:
North ES t 'South 3 S
East 2-e, I West 2-16
Size of Parcel
I 5
New Const. Valuation
Main Floor
Cover Deck
No. Baths
Zon• Class
Residential G*
Commercial
Spr'nklered
❑Yes ❑No EReq'd.
Remodeled Valuation
Garage/Storage
Uncv. Deck
No. Floors
tf
Certifi. of Exempt.
or Variance
Greenhouse
Fin. Basement
Required
Received
Yes❑
Yes❑ No7
Shorelines/Flood Hazard
Yes❑ Not Applic.
Ownership
p Public ❑ Private
I herby 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 to give au-
thority 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
OWNER OR O ENT DATEAPPLICATIONSIGNATURE
SPECIAL APPROVALS
6Env. Health
PRELIM. FINAL
DATE
Planning
VV ��
Fire
Prevent.
VlEngineer
,P
Utilities
SEPA
Plans
Exam.
Building
Tech.
??Pc
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
4-
Number
Plans Required
Received
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
10-0
Other (Specify)
TOTAL
PERMIT NUMBER
S2
07* *10000
*100.006
A *0.00
800,92
08-22-83
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE'ISSUE17.? 4 - 8 5
PERM ITNO.O. 2 z *+ O O 0 O 4O AL
■. ■■■..■■ 1111 r ■ r ■1.■■ EMU
.■■.■■■■..■■■■s■.s_ ...■■■■■ ■■ i4:MM1m
s�.7 ■.
.■..■.■1ummo z.!�'s.�E, 3..7ATs■.I■■I►�s■o%;�'L�S■■
EM
mo
tm
MIAmMMED►M'ON IIISMIAMMECEMI MON. M■. .■.`Fi■1M
.■■..■■
::s1111!!1S::111!e!111'II:11..o'. ■111'111
111111111111111111111111111111e 1 1111111
■■■■■■■.■■■■■■■...■■■■■■.■■■..r ■ I ..■ ■s
■...■■■.■s■■■■■...■■.■■.■..■.■s s1 ■. I■■
.■■..■.....■.■■...■■...►,.L.■....111. ■
.■..■■.■■■■.■■■■■■■■..1,■.i....n...■ 11C'
..■.■■...■■■!.■■■■.■■■. ■■�.■.■■■■.■■..1 ■
""111'1':n1"111'111I511'EIMM '1'1 "1
II11.■■1.1■..11...1■■.■.■11.1.1■ ■=.1.11 1■
■■■■......■...................I.11'II
11111111111111111 111111111111■' :..' ■1
.■..■■■....■.■....■....■■■■.■■■111.1..1 ■.
■......■.■..■■....■....■■..■......1'1 ...
•
'1111111111■IIIIIIIIIIN111111111111■1.111
..■.■.■■■■■■.■......■■..■■■■■■■.■■■s.fl ..
.rl....■■....■..■■'��1111111
hlIIHhlIINIIIlIHhIIilllIIIII,,
11111111111111111111111111 1111111111111111
111111111111111111111111111111 11111111111
1111111111111111111111111111111111111111
111111111111111111111111111111111111111111
■■■■■■■■■■
111 1 1'111 1
11■... 1.1..111.1.■■...1.■.■■.......■.■.1. ■.■..■.....
!!111111111111 u.1111II1111111 ,1111111.
•...........■....■..■..■..11.•1■11■■....
lIiI!I!III!IIiIIPAhI" ■..■■ ■ ■■■■ ■..■..■.... uin...■■■ ..■
1111.1 11111111111111111111 111111111
...1..1..1..1......■