1981, 02-27 Permit: 81A-1887 Mechanical FixturesAPPLICATION/PERMIT
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
5 _ I LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK UB 'VISION PARCEL NUMBER/S
3. OWNER ��� �-111
PHONE
ADDRESS ���` ZIP Actual Set Backs Feet
, Y/ North South
CO TR4CTO
C7 ,Y.V1 I
PHONE
Size of Parcel
Zone Classification
4.
ADDRESS
r
�z
Type Const.
Occupancy
kl❑
Sprinered
�1
`
Dyes ❑No Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
TYPE
No. Baths
No.
No. Stories
No. Rooms
No. of Dwelling
NEW ❑ALT. ❑ N. ❑ RPL. ❑ MVE.
7, OF El
1:1 BLD. ElPLMB. MECH. ElM.H. 1:1 POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
8 ,
FEES COLLECTED
VALUATION
SOURCAt
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
I
I
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 IQcal law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS �
Plumbing
�
DATE OF APPLICATION �- " a ` " , l SIGNATURE OF APPLICANT -'1r"i io;J i t ( yip--`�
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE "Joc'I `ru'V = (�. C71
1
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
c c"an PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
—7
L1 1 0 0
0 0
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
188.72
GC -27—s? 1
647 9