HomeMy WebLinkAbout1980, 09-25 Permit: 80B-0888 Gas PipingNUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
v APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB DDREIS Q LEGAL DESCRIPTION — SEE ATTACHED
OWNER
3.
I
PERMIT NUMBER
04* 7,+00
t:
7 C;
AD ES p "ZIP r Actual Set Backs in Feet £', C 7
` ) V '�� (� ✓?rq �6� North South East West
CONTR T R PFIONE Size of Parcel Zone Classification 0 `/ — 2 5 — n? 0
4 6479
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑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.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE NEW ❑ALT. 11 AD'N. El RPL. El MVE.
7, OF —/ ❑ OTHER
❑ BLD. ❑ PLMB. rEj MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK Enum. Distcation (Area)
. LoFEES COLLECTED
8 I
VALUATION SOUR E GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑Private ❑
9. 1UTILITIES
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 INSPECTIO
Plumbing
Mech. �/ t 00
DATE OF APPLICATION SIGNATURE OF APPLICA T
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Plans Examiner
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist
THIS BECOMES A PERMIT.
d g TLpMjpiap PERMIT IS NONTRANSFERABLE!
-+.,2` 5"`. 0'
d, g 0
*7.002