Loading...
1979, 09-07 Permit: 79-3546 Mechanical Fixturesf ' ti AN NUMBER L' 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 D A JOBBADDRESS DLEGAL DESCRIPTION — SEE ATTACHED . rc ', LOT I BLOCK ISUBDIVISION I PARCEL NUMBER/S DESCRIE.'E WORK 8 �r �—IC C CC, > Q FEES COLLECTED v' / / vi1 < t' /'i 1i ct A v ct r Q VALUATION Source GAS ELECTRIC WATER SEWER of 9. Utilities Single $ I 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 G _ % SIGNATURE ti'^ �T Mech. 3`d� SPECIAL APPROVALS DEPT. REQ'D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: :� DATE OFFICI ` Plan Check SEPA Mobile Home Other (Specify) TOTAL $ iia PERMIT NUMBER �1 -71 - 3S DATE • Z C- 0 4 •04* *7.00 * LOC U) *7.006 A *0.00 00 3 5 k 5 2 09-07-79 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0Y-07'-79 354623 OWNER PHONE 3. s l-• v 0 e- S 9' 'A Y� ADD IS, ZIP Required Set Backs in Feet �r i �, �C�.X �� ) Y/Q �0 J / North South East West CO,NTRACTOR ` A% �C PHONE Size of Parcel Zone Classification d 4-11 l� f' / C.ve L /G'© 4. ADDRESS ZIP Type Const. Occupancy Sprinklered i ✓ v Ap r �G .L r %.�f ✓Z ❑Yes ON.ElReq'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. El AD'N. F-1 RPL. ❑ MVE. No. Baths No. Floors No. Rooms Rec. Room 7. OF ❑ OTHER ❑ BLD. ❑ PLMB. 11MECH: 1:1M.H. ElPOOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION I DESCRIE.'E WORK 8 �r �—IC C CC, > Q FEES COLLECTED v' / / vi1 < t' /'i 1i ct A v ct r Q VALUATION Source GAS ELECTRIC WATER SEWER of 9. Utilities Single $ I 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 G _ % SIGNATURE ti'^ �T Mech. 3`d� SPECIAL APPROVALS DEPT. REQ'D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: :� DATE OFFICI ` Plan Check SEPA Mobile Home Other (Specify) TOTAL $ iia PERMIT NUMBER �1 -71 - 3S DATE • Z C- 0 4 •04* *7.00 * LOC U) *7.006 A *0.00 00 3 5 k 5 2 09-07-79 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0Y-07'-79 354623