1983, 10-25 Permit: 83B-819 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
-jLEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUB ISION PARCEL NUMBER/S
OWNER
ADDRESS
v-ri 1
CONTRACTOR
0—.1111
' ACZDRE�$��
DESIGNER
)' ADDRESS
PHONE
ZIP
Actual Set Backs in Feet
Area of Decks
North South Last West
PHONE
Size of Parcel
Zone Classification
4 /-. -/Cad
Zlp
Type Const.
Occupancy
Sprinklered
J��-�)l )
No. Baths
❑Yes [:]No ❑ Req'd.
PHONE
lValuation
I Building Area in Sq. Ft.
ZIP I Main Floor I Upper Floors I Garage Area I Storage
PERMIT NUMBER
�3 — 1
;i
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE D-lgEW 11 ALT. 11AD'N. IJ RPL . ElMVE.
OF i 1 ❑
❑ BLD. ❑ PLMB. ❑ MECH. M.H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK /V_I
d
of EXEMPTION
SCRIBE WORK Enum. Dist. Location (Area)
�FEES COLLECTED
I
VALUATION SOURCE GAS ELECTRIC WATER SOwnership USE CODE
I, UTILOITIES Public ❑ Private ❑
Single $
hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
_
)n reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
Building
ype of work will be complied with whether specified herein or not. The granting of a permit does not presume
o give authority to violate or cancel the provisions of any other state or local law regulating construction or the
)erformance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
]ATE OF APPLICATION .I SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Itk�l —
Plan Check
-nv. Health '
SEPA
>-
a
Manning !
i �I CJ
o
C.)
=ire MarshallMobile
Home
J
-o. Engineer
Other (Specify)
Jtilities
2
TOTAL $
'fans Examiner
IN THIS SPACE,
WHEN MACHINE VALIDATED
TEPA Checklist
THIS BECOMES A PERMIT.
lep An
uil ech PERMIT IS NONTRANSFERABLE
10 t2 '5'-g
8.1 9'z
* 2 4: 0.0,2 H;
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO.
TOTAL