1984, 02-14 Permit: 84A-1240 Mechanical FixturesFHrlj rvVMBER
JUD HUURtS5
2.
OWNER
3.
ADDRESS
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
AVPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TC- MAKE 3 COPIES
LEGAL DESCRIPTION - SEE ATTACHED
SUBDI ISION
PARCEL NUMBER/S
curve RACTOR
4.6-'� ^9 /f L
ADDRESS
S4
j21 ois /r4
DESIGNER
5.
ADDRESS
1 iy t, ee,
CHANGE OF USE FROM TO
6.
t
PHONE
ZIP
Actual Set Backs in Feet
North South
Size of Parcel
East West
Zone Classification
PHONE
�- 21- 2
ZIP
2 01-
Type Const. Occupancy
Valuation
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
PHONE
ZIP
Main Floor
Upper Floors
Garage Area
Storage
Area of Decks
Finished Basement
Unfin. Baseme
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. No. Baths No. Stories No. Rooms No. of Dwelling!
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
DESCRIBE WORK of EXEMPTION
Enum. Dist. Location (Area)
$ % C Al 4 Ce *11 f,F j� I`> �� f) FEES COLLECTED
VALUATION SOURCE GAS ELECTRICWATER SEWER
9 OF Ownership USE CODE
UTILITIES Public ❑Private ❑
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included Single $
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
i
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. S//EE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION �- �L - kq SIGNATURE OF APPLICANT oOIJ. ALO Mech.
(:, 27 tv
_
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health Plan Check
Planning SEPA
Fire Marshall
---j Mobile Home
CO. Engineer
Utilities
ns Examin
ng Technician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE r1F ISCUAnIrF
Other (Specify)
TOTAL $ �� h
PERMIT NUMBER
9A -ZD
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.