1979, 08-08 Permit: 79-1809 Mechanical FixturesNUMBER APPLICATION/ PERMIT
SPOKANE COUNTY BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION —SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
OWNER
PHONE
3. x C I S�
ADDRESS
L
ZI
��I I
Required Set Backs in Feet
f
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
�l c� �� r
`��r h Q C_
q:�-,— 5Z �-L
4' ADDRESS
C)
'(f
ZIP
C1 -,�-
Type Const.
occupancy
Sprinklered
,3 U C
ci C, U
❑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 C�'"NEW E] ALT.
1:1AD'N.
1:1 RPL.
❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7, OF
❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
❑ BLD. ❑ PLMB. C� MECH: ❑ M.H. ❑ POOL
WORK
of EXEMPTION
I
8 ---, n 'e, jC ,I ` ` 1- -1 FEES COLLECTED
VALUATION Source T GAS ELECTRIC WATER SEWEjnh of �1
9. utilities lam.
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions in
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governiBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does not p
to give authority to violate or cancel the provisions of any other state or local law regulating constructionPlumbing
performance of construction. DATE SIGNATURE �C�l i ' ( \ LMech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATE��/ OFFICI r
SEPA
Mobile Home
PERMIT NUMBER
`7 9- l 8
DATE 3_ l r
04* *7.00
*700
*7.0061
N *0.00
1 80.8;
08-08-79
2 6479.
Other (Specify)-
-
vD
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-08-79 18;.92
*7.000