1981, 02-24 Permit: 81A-1783 Gas Pipe for Bunson Burners!PLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY - BUILC•'NG CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
3
JOB DRESS
0256
LOT BLOCK
OWNER
ADDRESS
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER /S
PHONE
ZIP
CON RACTOR
4. 4k,.
ADDRESS
/11 , 2 oQ
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PHONE
ZIP
TO
1 1.-TT=W ❑ ALT. 0 AD N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. M MECH. ❑ M.H. ❑ POOL
❑ OTHER
Size of Parcel
Type Const.
Occupancy
Valuation
Zone Classification
Sprinklered
❑Yes ❑NO ❑ Req'd.
Building Area in Sq. Ft.
Main Floor Upper Floors Garage Area Storage
Area of Decks
No. Baths
Finished Basement Unfin. Basement
No. Stories
CERTIFICATE
of EXEMPTION
No. Rooms
Req'd.
No. of Dwellings
Rec'd. Not Req'd.
DESCRIBE WORK
8..da ° fp
VALalkT
9.
SOURCE
OF
UTILITIES
Enum. Dist.
Location (Area)
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
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 APPLICATION a- c` j 3— Q 1 SIGNATURE OF APPLICANT • C
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
0-0-c k --e-
PERMIT IS NONTRANSFERABLE
(3)��
Ppjl= 2-_°
00
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
J
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
et - 1.78'3
04* *30.00
*3000 V)
*30.006
A *0.00 8
1 782
02 -24 -81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 2142 E —'8 ° .
DATE ISSUED
PERMITNDr &3Z *3t#JF
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR
N S E W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: /1:7
DATE REMARKS:
-362-1---( file ,
N NUMEE0
•
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH St I JEFFERSON 1 SPOKANE. WASHINGTON 9•180 / (509)4563675
APPLICANT: COMPLETE NUMB RED SpACES - 10 MAKE 3 COPIES
"r°710 2
2. LOT • CR SU ITMI
ADDRESS NEN
41A-AnIc-r2A1
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL ritRABCR/S
ZIP
6.
.77Arg Me-o-t*_/
gozg
69..7.0
PHONE
Actual Set Bunt In MO
Notth 'South
Size of Par.
Vatuation
Sett iWai
Zone ClessIticallon
SpilEklitred
OVos Delo 0 MEM.
ailerons Arm In.!. Ft.
AOCIREISS
ZIP
am
CHANGE OF USE FROM
ft
TCI
TYPE N.M./ 0 ALT. 0 71.1, 0 RPL. MVE.
WORK 0 01.0. 0 'LAM. ff-RIECH. 0 M.H. 0 POOL
014 101 Docks I Finished easement I Unite. Basement
No. EatIn I No. Storles No. Rooms ro. of coveliineo
CERTIFICATE
of EXEMPTION
9.
$4t671aeso■til OAS
UTZIES ELECTRIC . WATER
!CRIER WORK
SEWER
CRUM. OM. reellon (Arm'
OVRIPAIIIR PM corm
Public ['Private 0
1 hereby certify DIM I nine rem, oilil et.iiiiiite0 ilio too. ..1111 11 '4) Dle "(2 i
on tienttSe and hen: e tattle In Re tine ind •
79000) 010111 0,21,1110, wth whothet lIleCiIllllI 1 ub' '
to don authoi.tv to vboloic ■■■ canCel the 000i0111111 01 on: ■■• • .
performance id ConSiteetion. SEE REVERSE SIDE FOR RE00111[0 INSPECTIONS
0 111 0,
t Leh ettil
1 901111 1111.. 1111.
eon firestone
',..11,01 trie
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
/00 P.41-0-•
MS COLLECTED
Single
Building
Plumbing
Plan Cneck
SEPA
Mobile Hon.
Other (Specify)
0,.)
TOTAL S
* IPERMITt rir_BERtio
01(3
°3C00 1
• 30000
.000 1
7.82.
62-24-8.1
R 6479.