1980, 09-26 Permit: 80B-972 Gas PipingIPLAN NUMBER
1'
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
S . 903 Blake Road
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOC K
SUBDIVISION
PARCEL NUMBER/S
OWNER
3 Mel Neumann
PHON
92 -3810
ADDRESS
S. 903 Blake Road, Spokane
ZIP
99206
Actual Set Backs in Feet
North 'South
East
West
4.
CONTRACTOR
A & M Quality Heating, Inc.
PHONE
928-2100
Size of Parcel
Zone Classification
ADDRESS
E. 12710 Indiana
ZIP
99216
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
DESIGNER SAME
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
SAME
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
KKX'EW 0 ALT. ❑ AD'N. ❑ RPL. 0 MVE.
❑ BLD. ❑ PLMB. XXMECH. ❑ M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Connect Gas Pipe To Home Spa.
VALUATION SOURCE GAS ELECTRIC WATER
OF VV�/
9. UTILITIES XA
Enum, Dist. I Location (Area)
SEWER
Ownership
Public ❑ Private ❑
USE CODE
I hereby certify that 1 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 9-24-80 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
ti
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B ''din Tec nicla fl J
' a.-2;
SPECIAL CONDITIONS:
/7,Ci4000 &.i u.S
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single S
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
7,00
TOTAL $ /
PERMIT NUMBER
04* *7,00
x+7,00
*7.006
A *0.00
97.1
09-26-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
409'4Q 0 9 7.2 z
DATE ISSUED PERMIT NO.
*7.00aD1-2
TOTAL