HomeMy WebLinkAbout1980, 04-05 Permit: G80-3510 Mechanical FixturePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
4.
JOB ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
LOT7-113LbCK
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DESIGNER
ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
CHANGE OF USE FROM
TO
ZIP
PHONE
PHONE
ZIP
TYPE
7, OF
WORK
9.
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
,,,��-�///''AD'N. CRPL. ❑ MVE.
L,[ MECH: ❑ M.H. ❑ POOL
DESCRIBE WOEtK
iit J .�.! e, 76,00-0 4/ t_
A kc/
VALU TION Source
of
Utilities
❑ OTHER
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South Eas
Size of Parcel
Type Const.
Occupancy
Valuation
DWL Area I Basement Area
Split Entry
No. Baths
'West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Split Level
Storage
Rancher
No. Floors
No. Rooms
CERTIFICATE
of EXEMPTION
Req'd.
ELECTRIC
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 state or local law regulating construction or the
performance of construction.
DATE
DEPT.
tICYD
SPECIAL APPROVALS
REQ'D. REC'D.
SIGNATURE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
EaSpLpQ J
DATE
•
APPROVED FOR ISSUANCE
Rec. Room
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
s (1°'
PERMIT NUMBER
G—W-350 j
DATE
*9,00
*9.00 tn-
*9006
E *000 0
35098
04,-15-8 0
R 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
13i4 1154-8
55102
*9.00 °�