1982, 09-14 Permit: 82A-8213 Fuel Damper, BrainPLAN 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
3
JOB ADDRESS
LOT BLOCK
17501 ALKI, GREENACRES
SUBDIVISION
OWNER
STANLEY REED
ADDRESS
17501 ALKI, GREENACRES
CONTRACTOR
4. ADDRESS
C/0E9514 MONTGOMERY #23
CAP HEATING
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
PHONE
924 -5176
ZI P
99016
ZIP
99.206
PHONE
ZI P
TO
'N. ❑ RPL.
MECH. ❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
DESCRIBE WORK
INSTALL SAVE FUEL DAMPER 6 BRAIN
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
X
ELECTRIC
WATER
SEWER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER /S
Actual Set Backs in Feet
North South
Size of Parcel
Type Const.
Occupancy
Valuation
Main Floor
Upper Floors
Building Area in Sq. Ft.
Garage Area
Finished Basement
CERTIFICATE
of EXEMPTION
Enum. Dist.
Ownership
Public ❑ Private ❑
Storage
Unfin. Basement
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. EE RE ERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SIGNATURE OF APPLICANT
SPECIAL APPROV S
NAME DATE
Env. Heal, (
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $ l 4 - n n
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
SIA\ •932i
04* * 1 4.00
*14.006
A *000
821.22
09-13-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09- 21`41-82 82132 *140020. -
DATE ISSUED
PERMIT NO. TOTAL