1982, 09-16 Permit: 82A-8298 MH Cover PLAN NUMBER APPLICATION/PERMIT PERMIT NVMBEF.
SPOKANE COUNTY — BUILDING CODES DEPARTMENT `27— ';-7)
j NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 'AC(t� �"2.fi" LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 'J 12A, Z. "311 Oir <,N.-rho
2. OF : /4 -a. t
OWNER PHONE
3. 'c vz., D` Mev CAZ(...-E37 23-544—‘2 i(
ADDRESS ZIP Actual Set Backs in Feet
C.- 144i.id- V-2.._-'76' C57 North 'South 100% East 1 4. West
CONTRACTOR PHONE Size of Parcel Zone Classification
4. �mE Q c,
? X 4 ) pc ct:z.Icc.«-ct.A.Q..tokt_.
ADDRESS ZIP Type Const. Occupancy Sprinklered
' e 3T4 M-1 Eyes ❑No ❑ Req'd.
DESIGNER PHONE Valyition Building Area in Sq. Ft.
5. i,2. Z '30€3
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
Sae. •----
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. . - .._...
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. 1.. \ 1
7, OF ❑ OTHER
WORK tin
BLD. 0 PLMB. 0 MECH. 1:1M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION I/
��ttD�'ESCRIBE WORK EM.S'Ct/. L '�
it, tJ-� AEnum. Dist. I Location (Area) t
8. t51/41�2 C O'M �Q.i4UF c- �2i1.4t�coil2 (14 X-Zz7 I FEES COLLECTED
V
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public 0 Private
9. UTILITIES �-t tL Et
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 ZLa.,
Building
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
/ l
DATE OF APPLICATIO /L, ^ EcZ SIGNATURE OF APPLICANT � iL'L � �7 D/ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
�
��j�j SEPA a...
Planning // / — O
l//f U
Mobile Home w
Fire Marshall
u_.
Co. Engineer Other (Specify)
Utilities TOTAL $ 'de
Plans Examiner
1*.)0T 12.,CAkj, WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
-wild• a Technician PERMIT IS NONTRANSFERABLE 0,9V16--8'.2 8 Z 9. 8 z *2 6..0 O a
"444.+_ ' r PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL