1982, 09-27 Permit: 82A-3721 Mechanical FixturesPLAN NUMBER
APPLICATION/PERMIT PERMIT NUMBER PERMIT
SPOKANE COUNTY -- BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1 Gunnard Johnson N. 312 yamer LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
2.
OWNER Gunnard Johnson PHONE
3. 922-3955
ADDRESS
ZIP
Actual Set Backs in Feet
N. 312 Mesmer
North South East West
CONTRACTOR
PHONE
Size W Parcel
Zone Classification
Valley Fireplace, Ino.
922-2780
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
E* 16610 Sprague Ave.
99037
I
❑Yes ❑No ❑ Req'd.
DESIGNER Veradale, WA
PHONE
Valuation
Building Area in Sq. Ft.
5. Contractor Specialty No.
ADDRESS VA LL EF S26 01M
ZIP
Main Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
Baths
No. Stories
No. Rooms
No. of Dwelling
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
%. OF
13BLD. EIPLMS. 2 MECH. ElM.H. EI POOL 1:1 OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
I
DESCRIBE WORK Install Blaze Prinoess, Yodel PFF 402
Enum. Dist.
Location (Area)
8
FEES COLLECTED
ce In§ert into Masoeiplaoe.
VALUATION1 SOURCE GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
OF
9. UTILITIES I
Public ❑ Private ❑
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
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
�bing
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
r
DATE OF APPLICATION SIGNATURE OF APPLICANT �
Mech.
SPECIAL APPROVALS
NAME DATE
nv. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
r "„
?—2'� PERMIT IS NONTRANSFERABLE 0 :I '- 7 -'8 2 8% 2 15 * 2 0. 0 0 a-� j-