1980, 09-30 Permit: 80B-1140 Mechanical FixturesPLAN NUMBER APPLICATION/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
/5 D g - LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLUCK IbUBDIVISION PARCEL NUMBER/S
2.
OWNEP PHONE
ADDRESS- ZIP Actual Set Backs in Feet
w��L
/ s 1)/3 North South East West
CO TRACTOR PHONE Size of Parcel Zone Classification
4.
ADD SS ZIP Type Const. OccupancySprinklered
a 7 !a �fa/46 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor I Upper Floors I Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE ❑ ❑ �9� No. Baths No. Stories No. Rooms No. of Dwelling
NEW ALT. AD'N. ❑ RPL. ❑ MVE.
7, OF 1:1 BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd
WORK
of EXEMPTION
SC I E WORK Enum. Dist. Location (Area) FEES COLLECTED
8. -�cti�� . �—•d
VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public El 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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION—g-,06 r SIGNATURE OF APPLICANT ti✓ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (SP ecifY I
Utilities
Plans Examiner
PERMIT NUMBER
— I I Tc)
04* *700
*70U
A*7.00Y
i- C. V li
11272
09-30-80
6479
TOTAL $ "nom
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ng Technician PERMIT IS NONTRANSFERABLE tl 'Q 1-.3 0 - S h 1 14. 0 7 G "i r