1981, 06-12 Permit: 81A-9878 Mechanical FixturesPLAN NUMBER
APPLICATION/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 ADDR
LOT
LOC /r -g 1v ,ON
BLOCK BDI VI ION
OWNER
aster -9 <4.4c -e
ADD /3C /✓ c j� ��„Yi
4.
CONTRAat ,— ,..2 n
Agpl;.gSs
DESIGNER
PHONE
9616-
LEGAL DESCRIPTION - SEE ATTACHED
PARCL`Z NUMoER/S
10.7//16
PHONE
324- S -.Oe)
Actual Set Backs in Feet
North (South East - (West
Size of Parcel
Zone Classification
PHONE
Type Const.
Occupancy
Sprinklered
Oyes. ONo 0 Req'd.
Valuation Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
O NEW
O BLD.
O ALT.
❑ PLMB.
O AO N.
O MECH.
O RPL.
O M.H.
O MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. -Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Reed.
Not Req'd.
O �R� I BS W O13��-K✓//�/tel'
OA�fy/
8.
L
9.
Enum. Dist.
Location (Area)
SOU1'E
UTILITIES
GAS
ELECTRIC
WATE
SEWER
Ownership
Public 0 Private 0
USE CODE
.I hereby certify that 1 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
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
DATE OF APPLICATION SIGNATURE OF APPLICANT C� Al?d_r ci`— ) *//,_
SPECIAL APPROVALS SPECIAL CONDITIONS:
Env. Heal
Planning
NAME" DATE /
6-57 ma �`a cam
Fire Marshall
Co. Engineer
Utilities
Plans Examine
SEPA Check!
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
• Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL -
PERMIT NUMBER
04* *2400
* 2400
* 24,008
A *000 8
587.7E
06-12-8.1
6479. •
WHEN MACHINE VALIDATED IN THIS SPACE,
THISBECOMES A PERMIT. : t J i
0I6.117112; 81,t 58'J.'8'z' *2.40;0.0(2t,
b .i
DATE ISSUED PERMIT NO. TOTAL