1982, 05-03 Permit: 82A-3404 Fuel DamperPLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRE!
�.
1250
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
F tv 0LEGAL DESCRIPTION - SEE ATTACHED
SUBDI SIGN ;FARGEL`-NUMBER/S
OW R PHONE
3. -, L
ADDRESS /j ZIP%% Actual Set Backs in Feet
1--` ♦ ar�14 North SouthEast West
CONTRACTOR PH NE Size of Parcel Zone Classification
' p 2I I
4' ADDRESS ZI. Type Const. Occupancy Sprinklered
t� vo ❑
L1 CS �.. f �,� Yes ❑No
� ❑ Req'd.
DESIGNEW PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE ,�,,/I No. Baths No. Stories No. Rooms No. of Dwellings
ld NEW ❑ ALT. ❑ PPP���D'N. ❑ RPL. ❑ MVE.
7, OF ❑OTHER
WORK ❑ BLD. ❑ PLMB. MECH. ❑ M, H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8 r_ /� r` / ' 1 i 1 1�i i5iil FEES COLLECTED
VALUATION SOURCED! L� LGAS lE7LECTRRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public ❑Private ❑ 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
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 local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION .3O � `'' SIGNATURE OF APPLICANT � � � Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
o. Engineer
Utilities
Plans Examiner
SEPA Checklist
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify)
TOTAL $
04* * 1 4.00
*1400
* 1 4.0061
A *000
340,3
05-03-82
L9 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
S
05`0Y `82- 340,425
DATE ISSUED PERMIT NO.
*1400a�
TOTAL