1982, 10-12 Permit: 82A-9429 MHPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. . 7O1+
k CST t}
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2. '
BLOCK
SUBDIVISION
OWNER
3. iki\ltc_
ADDRESS
E., 1ittf,
CONTRACTOR
ADDRESS
DESIGNER
5. ADDRESS
\t' E c.,t -
PHONE
ZIP
q Z�L
PARCEL NUMBER/S 41.a...3' Lor 5 # ALL. 4_0..4,
iTLiG 11 WOOD i_t►t ts:3 ' 9A$2..v.
Actual Set Backs in Feet
North 4tr3* !South
East ?, !West V
PHONE
Size of Parcel
15x�4O
Zone Classification
Atl.GjL.134.,2.?Srkft)
ZI P
Ty De Const.
iN
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valyation Building Area in Sq. Ft.
%-b44
ZI P
Main Floor
I
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
P NEW ❑ ALT.
❑ PLMB.
❑ BLD.
❑ AD'N.
❑ MECH.
❑ RPL.
VT/M.N.
❑ MVE.
D POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not
DESCRIBE WORK
8 i� r z -e. k‘i i OE
ij VALUATION
OZCOI
OOD
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Enum. Dist.
Ownership �/
Public ❑ Private U'
Location (Area)
USE CODE
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
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
DATE OF APPLICATIOP�4 VC I —Of '2 -SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Heth�
y '?/-
Pia
Fire Marshall
Co. Engineer
k -D.Rop4g4 to( 1.21P2_
Utilities
Plans Examiner
SEPA Checklist
Buildin echni.ciiaann y�y
SPECIAL CONDITIONS:
Art es Orn ALLEY, tb.-PRZ4 k -7ectiutr Ead to Ptr
Pea -newt AS t.OYu tau£. r cEt P.c t turn U
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile HomA IOO.
Other (Specify)
TOTAL
$ lb0.&a.
PERMIT NUv►1f=.R
SZ. A -4Z.7
057* *100.00
* 1 00.00
FI *000
94.2.88
10-12-82
61i.79
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10-F1`2-8'2 942.92 *100.002 -
flATF ICC! IFn
DrorAIT Iur\ TSTA I