1981, 06-19 Permit 81A-6146 MHPLAN NUMBER
APPLICATe9N/ Peruvii 1
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.E. it `l.z. = MRNS""FIELD
LOT I BLOCK SUBDIVISION
2. 03 J 11�jNG r 1oBiLf. PAR-K
PHONE
3.
i
4.
OWNER
PA LAI_
ADDRESS .Q 2
/ J(Zc MM.15FIELD CJJ
CONTRACTOR
ZIP
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S oel5-2�./7 - 04-1,L1
Lars o / 3 -5p1NQof /.)L2rrtiN
Actual Set Backs in FFt itiff
North 1Sout
Size of Parcel
ADDRESS
DESIGNER
5. ADDRESS
CHANGE OF USE FROM IT
TYPE
7, of
WORK
ZIP
PHONE
ZIP
iEw ❑ ALT. D AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. ❑ MECH. E M.H. 0 POOL
0 OTHER
DESCRIBE WORK
g MOBILE_ I.- o4 - ,4S #SESIVENCE_ C I X
VALUATION•ItO OF
SOURCE GAS ELECTRIC WATE SEWER
9 /�'7 500 UTILITIES
I
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
4'x (Ya'
Type Const.
Occupancy
3
Valuation
V 17,Spp°.
Main Floor I Upper Floors
98
Area of Decks Finished Basement I Unfin. Basement
Or,
West
Zone Classification
MULT/ HtivoLey
Sprinkler d
Dyes ❑No ❑ Req'd.
Building Area in Sq. Ft.
980
Garage Area I Storage
No. Baths I No. Stories
2 1
CERTIFICATE
of EXEMPTION
Enum. Dist. Location (Area)
OwnershipUSE CODE
Public ❑ Private I[7
No. Rooms INo. of Dwellings
/
5
Req'd.
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Idin T chnician
(ZO
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
U t7
Mobile Home 5o
Other (Specify)
TOTAL
5c )
le A--6'I I
07* *50.00
*50,00
*50.006
A *0.00
614,52
06-19-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
8 1
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PL f tc t' I.5'ct e•U ( 114,09 i Rb \&
PERMIT IS NONTRANSFERABLE
TOTAL
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO.
6146z *SQOOa1