1980, 08-28 Permit: G80-9250 Save Fuel DamperPLAN NUMBER APPLICA?'"' Z'`, PERMIT NUMBER
,wl�►.,/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT g`� - �2<
/ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
1. 5,
OWNER
3. T /..y
ADDRESS
s:
CONTRACTOR
4 Id g`i/ "
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
SUBDI ISION I PARCEL NUMBER/S
A -
PHONE
9.24- -.-�,y.y
ZIP Actual Set Backs in Feet
North South East
PHONE Size of Parcel Zone Classifi
ADDRESS %< /
ZIP
Type Const.
Occupancy
Sprinklered
Pli
91A/6
❑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
IJ.
TYPE❑ NEW ❑ ALT. ❑ AD'N. El RPL. 11 MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
I Recd.
Not Req'd.
of EXEMPTION
DESCRIBE WORK /
8.
Enum. Dist. Location (Area)
FEES COLLECTED
h%. ,.G Scc ; / Lt t / GCp, C"01 i .v 6 w 5 l/ P.�
VALUATION
SOURCE
GAS
ELJ—WATF�EWERTRIC
-71e
Ownership
USE CODE
9.
I UTILOITIES
Public ❑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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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
DATE OF APPLICATION ! 'Z� SIGNATURE OF APPLICANT
Mech. �V
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
,arc'r -A 41. 4'0
Plan heck
SEPA
Mobile Home
Other (Specify)
TOTAL $ 7•yy
04* *7.00
*7,00
*7.00
E *0.00
925.02
08-28-80
2 6.479.
i
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
925,1 z
DATE ISSUED PERMIT NO.
>k7100OCL
( -
TOTAL