1980, 09-11 Permit: 80B-19 Mechanical FixturesPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
Ca l/ —� NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509).456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADD5ESS
LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCKjSUff-D--1VI-9-10—N PARCEL NUMBER/S
2.
OWNER PHONE
3. 14111�_Zleel�
ADDRESS ZIP Actual Set Backs in Feet
S111'1it, CEi North South East West
CONT ACTOR PHONE Size of Parcel Zone Classification
Const. Occupancy Sprinklered
4' ADDRESS ZIP Type
C4 ����/ ` ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS TZIP Main Floor I Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW El ALT. r❑ir AD'N. RPL. 1-1 MVE,
�, OF 1:1BLD. ❑ PLMB. IJ MECH. ElM.H. 1:1POOL ❑OTHER
WORK CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESC BE WORK /^ l� Enum. Dist, Location (Area) FEES COLLECTED
8. � r„ 1 / vr/� a ;f s
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
O Cl
9. UTI
LOITIES 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 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 INSPECTIONS Plumbing
DATF C)F APPI ICATI(lN 'd C✓ CI(;NATI IRF (1F APPI irot\I'r /�i' liLt�/� 1"�/ri Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
yl �
Planning�0 3
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
6.108 - / 9
04* *12 0
c,
* 1 2 0 0
A
09-11-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.