1984, 02-06 Permit: 84A-1006 Mechanical FixturesPLANNUMBERI APPLIGATI0N/PERMIT
L SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
E. 12506 Lenora
2. LOT I BLOCK I SUBDIVISION LEGAL DESCRIPTION:
3 Paul Reese
924-2334
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
E 12506 Lenora
99216
North South East
West
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential❑
Valley Fireplace
4.
1/1/85
922-2780
1
Commercial ❑
ADDRESS
ZIP
Type Const.
Occupancy
Spr i n k lered
E. 16610 Sprague Ave. Veradale vIiA
99037
1
❑Yes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5 Contr. License XALLEF-177CG
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
1 Fin. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE ,NEW El ALT. ❑ AD'N. ❑RPL. El MVE.
!• OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB./MECH. ❑ M. H. ❑ POOL
Certifi. of Exempt.
Yes El No❑
Number
or Variance
:::IRequired
Received
Yes 1-1 No 71
DESCRIBE WORK
8.
Shorelines/ Flood Hazard
Plans Required ❑
Installation Of 14-520 oo 'TER
Yes❑ NotApplic. ❑
Received ❑
VALUATION
SOOURCE
GAS
ELECTRIC
PUBLIC ❑
SEPTIC ❑ ftAGE
Ownership
FEES COLLECTED
9
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑Private ❑
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 type of
Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the pe formance
of construction. SEE REV SE &IRE FOR REQ IRED I PEC IONS
Plumbing
SIGNATURE OF APPLICATION " n
F L�
OWNER OR AGENT DATE
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
Planning
Prevent.
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
BuilBuilding IN 180 DAYS
. w ..
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
DATE @SRM 0 6 — 8 4
r
ERMIT NUMBER
A - ivo(2-,,
PERMIT NOO O' 6 z * 2 O O OTOTAL
LL