1980, 03-26 Permit: 80-2691 Air Handler^LAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
1. S,/7/9
LOT l BLOCK
2. i
OWNER
L pE
ADD FESS
4
UBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
En) f?a I O1'1
& /470/
CONTRA OR
4-J AiEMT/nla- 4 //P/GnA/p
' ADDRESS
h1E/LE
DESIGNER
5.
ADDRESS
6.
PHONE
ZIP
PHONE
9-9o$'/
9 nf'
PHONE
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South
Size of Parcel
East 'West
Zone Classification
Type Const.
Occupancy
Valuation
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
CHANGE OF USE FROM
ZIP
DWL Area I Basement Area
TO
Split Entry
Garage Area I Storage
Split Level
Rancher
TYPE
7. OF
WORK
NEW
❑ BLD.
DESCRIBE WORK
❑ ALT.
❑ PLMB.
❑ AD'N.
MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
8. I /JS T A LL_ A I R H Np[.c
VALUATION Source
of
9. Utilities
1. / K. tit). �7u '-k WoK?K
GAS ELECTRIC
XX
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 SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
l'-'T`OFFICIAL
•
APPROVED FOR ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 7.00
!PERMIT NUMBER
co_ a.(ocI
DATE
04*
E
2690a
03-26-80
-4 6479,
*7.00
*700
*7006
*0,00
Ug'
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
O 26.-8'0 2.69.12 *7.00°
O
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