1981, 01-19 Permit: 81A-591 Mechanical Fixturer.
PLAN 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
1.48T f :{at iUBD ISS
2.
OANER4p � ,.
3. P /.v ,e'p. nt.44.O.!' pc
CONTRACT4. /
tiatkt
ADDRESS
5.
/!0 G
DESIGNER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
PHONE
QZ&t .267
ZIP
Actual Set Backs in Feet
North 'South 'East 'West
PHONE
9n el.Q80
Size of Parcel 1 Zone Classification
ZIP
99a/s
PHONE
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
Valuation I Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
6.
TYPE
7. OF
WORK
CHANGE OF US FROM
O.,
TOls .eC.Q/
Area of Decks
Finished Basement
Unfin. Basement
❑ NEW
O BLD.
❑ ALT.
❑ PLMB.
0 AD N.
MECH
0 RPL.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Recd.
Not Req'd.
DESCRIBE WORK , y� �t1 �/ -} Q�7� � �
8. 6./.4.4-(795 �.t Ea -44 /0000013
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF
9. UTILITIES
OF'
Enum. Dist.
TU
Location (Area)
Ownership
Public 0 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 I aw regulatin onstruction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPE% TI S
DATE OF APPLICATION / V1 SIGNATURE OF APPLIC
SPECIAL APPROVALS
NAME DATE
Env. Health
r'
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B (ding Technicia
SPECIAL CONDITIONS:
'`'/"p/P.E
Jrf p/P.
PERMIT IS NONTRANSFERABLE •
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Sir
Mech. /got)
Plan Check
SEPA
Mobile Home
Other (Specify)
o
TOTAL
PERMIT NUMBER
9/,4 -jig/
04* *1800
* 1800 N
* 1aoo6
A *000
59.'02
0'1 `-1 9-8,1
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.9.1H•19+:7,81]]
DATE ISSUED
591"gi. . *110.0a�.
PERMIT NO. TOTAL
e
/ L' -I 5-(I rJ�l
13'7° f<c+'1{o-To'
1
t17-7,15-1,
yr
pciNer 1VI Q1,,}