1981, 05-21 Permit: 81A-5004 Mechanical FixturesPLAN NUMBtK , APPLICATION/PERMIT
PE MIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT!
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
0 4 * * 3 6.0 0
1.1 5:3-&-6-07 Gttu-ks CT LEGAL DESCRIPTION - SEE ATTACHED
*3600
LO BLOCK ION PARCEL NUMBER/S
2.
*36OOY
OWNER PHONE
A * 0 0 0 v
3.
ADDRESS ZIP Actual Set Backs in Feet
5 0 G 3 2
1— &`J North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
05-21-81
4. is ". �.
g 6479.
ADDRESS ZIP Type Const. Occupancy Sprinklered
:soy e ❑Yes ❑No ❑ Req'd.
I
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
s.
I
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE NEW 1-1 ALT. 11 AD'N. 1:1 RPL. MVE.
❑
7. OF ❑ OTHER
WORK 1:1 BLD. 11PLMB. O/MECH. EI M. 1-1POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 '5C,6 �C>�.� t.l�-CG�� FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private ❑
I
Single $
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
_
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
DATE OF APPLICATION S L1 SIGNATURE OF APPLICANT Mech. -
SPECiAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Z 'ROT (,t„lir—iZ Tn'NK',5 40 � �
Env. Health
Z bT LGA- 'v0%(.- M`:1 Cto� "00 ,� SEPA
Planning
c
C
Fire Marshall �� `i� �r�, Mobile Home
C
L
L
1�
Co. Engineer 7 D ..- t/.Z e-Ok • Other (Specify)
Utilities
Plans Examiner
ng Tec moan PERMIT IS NONTRANSFERABLE
c ^T PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL $ 30 . d'o
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0152i'I
t
}t81, 5'0�a49
DATE ISSUED PPRnnIT nin
*3 6.0:0� -
TrITA I