1980, 03-18 Permit: 80-2314 Mechanical FixturePLAN NUMBER
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APPL CATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB AD ESS
LOT BLO K
OWNER
3
0 0
SUBDIVISION
PHONE
4' ADD
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
❑ NEW
❑ BLD.
0 ALT.
0 PLMB.
Sac
PHONE
PHONE
ZIP
TO
v
>a�///AD'N. 0 RPL.
0 M.H.
❑ MVE.
O POOL
0 OTHER
DESCRIBE WORK
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL. NUMBER/S
Required Set Backs in Feet
North
South East
$ize of Parcel
Type Const.
West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
DWL Area
Split Entry
No. Baths
Building Area in Sq. Ft.
Garage Area
Split Level
CERTIFICATE
of EXEMPTION
Storage
Rancher
No. Rooms
Req'd.
VALUATION
9.
Source
of
Utilities
GA
LECTRIC
WATER
SEWER
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 s#ateor local law regulating construction or the
performance of �conssttr/u�ction.
DATE �.) /9 -J V
SIGNATURE
,ciettJ
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
PA Checklist
SPEC fAL.CONDITI ONS:
DATE 3-11 OFFICIAL MAI/n.7'1
APPRfl1/FIl Ff1R ISSIIANf.F
Rec. Room
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech. c.74:,
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 49(:)
PERMIT NUMBER
k\ T)L 31 L)
DATE 3—n-20
04* *9,00
*9,00
*9.00
E *0,00
231.32
03-18-80
2 6479.
O
1—
U
— w
CID
WHEN MACHINE VALIDATED IN THIS SPACE,
TH IS0 '5COd.,FS A g EOR M I T.
23.1.42 *9,OOa�