HomeMy WebLinkAbout1980, 08-13 Permit: 80-8469 Mechanical FixturesPLAN 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
}JOB ADDRESS fj/
1 T / 2j? U�V7 //O,/iA , PJ
2 BL �G
OWNER
3. r- i= rEL S
A R
ESS
,J.. Tit. Coca
CONTRACTOR
A/ / HEADn 1 PM _ ii c
4' ADDRESS
E. -5 �CILE-
DESIGNER
5' ADDRESS
PHONE
kg )1
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER /S
Actual Set Backs in Feet
North 'South
PHONE
ZGJ`C; ,cs
East
Zone
Size of Parcel a Classification
Type Const.
Occupancy
PHONE
Valuation
Sprinklered
Oyes ❑No ❑ Req'd.
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. , MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
DESCRIBE WORK
8. I ASS A a k t,)1 (LEE 4 `7Lt c 1- SP)&R k'
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF �, `
9. UTILITIES x
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
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
Ownership
Public ❑ Private ❑
USE CODE
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
SIGNATURE OF APPLICANT
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ding hnician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 1. UU
PERMIT NUMBER
G4 *7.00
*7.00
*7.006
E *0.00
8468
08 -13 -80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
X18-11 '5;..810 84'6,95 *7.00 -
DATE ISSUED
PERMIT NO. TOTAL