Loading...
1979, 10-11 Permit: 79-5801 Mechanical FixturesKLAN NUMBER APPLICATION/PERMIT PE NUM U6 SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 1 5, a a JOB ADUBES _ 7 4R 1a 1-0 I Io LEGAL DESCRIPTION - SEE ATTACHED h 1. 1--� A/ to � LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 5.00x 2. OWN PHONE E L (*, n 3. � P�- Required Set Backs n Feet v8a,0 v- 3 North South East West 10-1 1 - 7 9 CONTR CTOR _ PHONE Size of Parcel Zone Classification 6,479, 4. ADDRESS A ' A ZIP Type Const. Occupancy Sprinklered E. i�'} 1AJ vlA� , ❑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. TYPE NEW ❑ ALT. ❑ AD -N. ❑ RPL. No. Baths No. Floors No. Rooms Rec. Room ❑ MVE. 7, OF ❑ OTHER ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. WORK of EXEMPTION I DESCRIBE WORK FEES COLLECTED 8 i6ta V._CIVuAeQ ct tO%A[9A-S KJ VALUATION Source GAS ELECTRIC WATER SEWER of 9, Utilities X Single $ 1 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. Plumbing Q DATE©'"� (��� SIGNATURE_ Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD.3c) Plan Check Env. Health � �j SEPA Planning r � � Fire Marshall Mobile Home Co. Engineer Other (Specify) Utilities TOTAL $� Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist r THIS BECOMES A PERMIT. o 101-11-79" l' 0 DATE kJ F F i L % O (,l 1 * 1 �. 1 F 0 F -- U — W Q z 4