1979, 07-16 Permit: 79-500 Mechanical FixturesPLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
I
/9-- c, 00
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
p 4 * * 7.0 0
* 7 0 0
JOB ADDRESS
GC'4, /,qIC'I Dr.
LEGAL DESCRIPTION — SEE ATTACHED
1. cr'
49,9
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
p7-16-79
OWNERP
ONE
ADD ESS /�,
ZIP
Required Set Backs in Feet
C' 3 �iJ ( 00,11—VleY'<� jCl
L�
North South East West
CONTRACTOR
��r ��
PHONE
Size of Parcel
Zone Classification
a, :- K, <.
q) 1i -5-451-:)-
4. ADDRESS
ZIP ��
Type Const.
Occupancy
Sprinklered
, . C �0 9 2`0 tl
C
❑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 El ALT. ElAD'N. ❑ RPL. ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
%. OF El OTHER
CERTIFICATE
Req'd.
Recd.7
Not Req'd.
❑ BLD. ❑ PLMB. UMECH; ❑ M.H. ❑POOL
WORK
of EXEMPTION
I
DESCRIBE WORK ,n�-� FEES COLLECTED
LU
8• L) Cti �_l� C� l�V �,r
VALUATION Source GA ELECTRIC WATER SEWER
of
9. utilities 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
Plumbing
performance of construction.
DATE SIGNATURE _ Mech. -7 • U
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
r
Planning
f
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities •-'-'7
0
TOTAL $ l
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
'� — 6 —
J 2 :L i-
DATE7A� 0FFICIA