1979, 08-20 Permit: 79-2452 Mechanical Fixtures1PLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
-gelPERMIT NUMBER
71/ -:Z
DATE -72
04 * * 15.00
*15.00 tn-
* 1 500
E *0.00
245.1 �
08-20-79
-4 6479.
8 CQ J t ` I- 0 /,C C C Q pl— [ 1 _G �, FEES COLLECTED
UATION `k l .� T 7SIEWER �
GAS ELECTRIC
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
Source WATER SEWER
of
9. utilities Single $
JOB ADDRESS o
I hereby certify that 1 have read and examined this application and have read the "NOTICE" provisions included
LEGAL DESCRIPTION — SEE ATTACHED
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
LOT
BLOCK
SUBDIVISION
DATE t�' M- f / SIGNATURE_ Mec
PARCEL NUMBER/S
2.
I
Env. Health
lJ SEPA
Planning ITS 1 f /moi 1
/
OWNER
Fire Marshall Mobile Home
P ON
Co. Engineer Other (Specify)
Utilities
TOTAL $.-
Zone Clearance
ADDRESS
WHEN MACHINE VALIDATED
ZIP
Required Set Backs in Feet
n
c� � �. L Z * 1 �. U O (1 F-
T \
-1114 c` C) %�
Q/
7
-9 /.
North South East West
CONT ACTOR
PHONE
Size of Parcel
Zone Classification
j1f�,
— � C0
4
�►�
.
ADDRES f r
ZP
Type Const.
Occupancy
Sprinklered
' /,;L--7 l Ly% l 1��
7 71}
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
7
TYPE Yl NEW El ALT. ❑ AD'N.
❑ RPL. ❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7.
OF OC
El OTHER
El BLD. 1-1PLMB. ElMECH:
❑ M. H. El
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
-gelPERMIT NUMBER
71/ -:Z
DATE -72
04 * * 15.00
*15.00 tn-
* 1 500
E *0.00
245.1 �
08-20-79
-4 6479.
8 CQ J t ` I- 0 /,C C C Q pl— [ 1 _G �, FEES COLLECTED
UATION `k l .� T 7SIEWER �
GAS ELECTRIC
Source WATER SEWER
of
9. utilities Single $
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 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
Plumbing
performance of construction.
p� / -/ >
DATE t�' M- f / SIGNATURE_ Mec
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Planheck
Env. Health
lJ SEPA
Planning ITS 1 f /moi 1
/
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTAL $.-
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist Ra
//////// THIS BECOMES AP7ERMIT.
DATE -2( -7 OFFICIALRaAJ�a.t 0 J -2 U - ! C
n
c� � �. L Z * 1 �. U O (1 F-