1981, 11-06 Permit: 81B-1565 Mechanical Fixtures(PLAN NUMBER I
APPLICATION/ PERMIT
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Env. Health
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
Fire Marshall
Co. Engineer
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
Plans Examiner
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION —SEE ATTACHED
1.
N 170-7 FARC
LOT
BLOCK
PARCEL NUMBER/S
2.
I
ISUBDIVISION
OWNER
PHONE
3.
$9�-FRNARD P-YAN
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ADDRESS
ZIP
Actual Set Backs in Feet
! A f�
1 o r—AR-- -
72
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE E3 --NEW
ElAD'N. 1:1 RPL. 1:1MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7,
OFr7��
ElOTHER
CERTIFICATE
Req'd.
Rec'tl.
Not Req'd.
El BLD. 1-1PLMB.
E�_MECH. ElM.H. ElPOOL
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum Dist Location (Area)
FEES COLLECTED
8. Gets FU o -- D
VALUATION SOURCE GAS ELECTRIC WATER SEWERUSE CODE
Ownership
OF
9. 1UTILITIES1 Public 11 Private ❑ Single $
1 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 Building
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 Plumbing
0
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech. 17 n
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
-7,S-O
"T 6-0
_ 2.00
17,00
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Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ng Technician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
PERMIT NUMBER
04* *2700
*2700
*2700
A *0:0`;
1564`
1 1 -06-81
6,479,
Mobile Home
)5su0r�n°tl
Other (Specify)
Uo
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
17x6 81 156.52
DATE ISSUED PERMIT NO.
*2ZOOa-FJ
TOTAL
C
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