1981, 01-20 Permit: 81A-0676 Mechanical Fixtures(PLAN NUMBER
c
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLL E NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS -57 E(Aig,,k z/
LOT BLO K SUBDIVISION
OWNER—.. /�
3 1 //
-
e1 4; -e
ADDRESS
CONTRACTOR
4. ADDR S
/f es 4L'
PHONE
ZIP
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South
East
West
DESIGNER
ZIP
99.4
ADD RESS
CHANGE OF USE FROM
6.
TO
PHONE
ZIP
TYPE
7. OF
WORK
ANEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB.°� MECH. ❑ M.H. ❑ POOL
❑ OTHER
Size of Parcel Zone Classification
Type Const.
Valuation
Main Floor
Occupancy
Upper Floors
Area of Decks
No. Baths
DESCRIBE W_ OFFS
VALUATION
9.
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
/ SEWER
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Storage
Finished Basement Unfin. Basement
No. Stories
No. Rooms
CERTIFICATE
of EXEMPTION
Enum, Dist. 1 Location (Area)
Req'd.
Ownership
Public ❑ Private ❑
USE CODE
I hereby certify that I nave read and examined this app);cation ana 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
ATION/ /9- Q /
SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
Rec'd. Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
�Com=
Mech. / r
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ /?
/'l476
PERMIT NUMBER
U4* *19,00
*19.00 5
*19.006
A *0.00
67.58
01-20-81
z 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.1, 2.8
DATE ISSUED
U(,U
PERMIT NO
*19,00 alJ-
TOTAL