1982, 09-27 Permit: 82A8749 MechanicalPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
I
JOB ADDRESS APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
�.
12920 E. ALKI LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER /S
2.
OWNER PHONE
3 LOUIS I.RVIN 924 -9997
ADDRESS ZIP
129?0 E. ALKI SPOKANE 99216
CONTRACTOR PHONE
4 CAP HEATING 924 -3986
ADDRESS
c/o E9514 MONTGOMERY #23 SPOKANE 299206
DESIGNER PHONE
5.
ADDRESS ZIP
CHANGE OF USE FROM TO
6.
Actual Set Backs in Feet
North South
East
West
Size of Parcel
Zone Classification
Type Const,
Occupancy
Sprinklered
❑Yes []No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
Main Floor
Upper Floors
Garage Area
Storage
Area of Decks
Finished Basement
I Unfin. Basement
TYPE NEW ❑ ALT. 1:1 AD'N. El RPL. MVE. No. Baths No. Stories No. Rooms No. of Dwellings
❑ ❑
7. OF 1:1 OTHER
WORK ❑ BLD• ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8. INSTALL SAVE FUEL DAMPER 8 ENERGY BRAIN
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES X Public El Private ❑
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,/ yj
DATE OF APPLICATION
SPECIAL APPROVALS/
NAME DATE
Env. Health
Plane, ^g
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
BUiUkynq T.9chnician^
SIGNATURE OF APPLICANT
AL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $ 14. 00
Building
Plumbing
Mech.
Plan Check
PERMIT NUMBER
04* *14.00
*14,006
A *0.00
874,82
09 -27 -82
2 6479,
SEPA
O
U
Mobile Home w
J
t-
Other (Specify)
TOTAL $ 14.0
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09'- '27 —�821 87492
DATE ISSUED PERMIT NO.
* 1 4 0 0 a is -
TOTAL