1980, 11-06 Permit: 80B-3325 Mechanical FixturesPLAN NUMBER
edi
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
1.
2.
JOB ADD SS
LOT SUBDIVISIO
OCK
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
3.
OWNEa
ADDRESS
4.
Lc)c -1 "AbR S b A/
3 so 43 k'
CONTR TOR
-eS Orltz-cci Srvr(.c
Apl/Sl ox l/a77 - AI 9 La.Keed.
DESIGNER
5' ADDRESS
PHONE
?x8'-393 4t
ZIP^„ I60'
Actual Set Backs in Feet
North (South
East
West
PHONE
535-7333
Size of Parcel
Zone Classification
ZIPS /L21/
Type Const.
Occupancy
Sprinklered
Oyes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
O PLMB.
❑ AD'N.
O MECH.
O RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
s Con vcl546111 & rncr grOM t ,I to Gn5- /AI ObcStU
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
Enum. Dist.
ILocation (Area)
SEWER
Ownership
Public ❑ Private 0
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION //— 1p — if° SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
J
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building �nhiSiaLZJ�
'°Bu i
SPECIAL CONDITIONS:
70,06-
A-74. OA I/ivc-A
Ft of ,-N,A
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ /'' DI)
PERMIT NUMBER
oB--.33as
04* *1200
* 12.00
* 1 2.006
A *100 0
33248
11-06-80
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11-46-80
DATE ISSUED
3315' *1200 -
PERMIT NO. TOTAL
�-
0
C7.
U
W
J
LL-
WHEN
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