1981, 11-25 Permit: 81B-2178 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 3 COPIES
JOB ADDRESS 1 LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
2.
OWNE PHONE
3.
OWN
4 /� ✓v Y'sc ,A -- `f'
ADDRESS �ZIP
q�1.��� Actual Set Backs in Feet North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
" T 7f rA c /—.c- c - /a J
4. ADDRESS 1 ZIP G / t. O
Type Cons ccupancy Sprinklered
r,/ 7/ 1 �� �j Q v 7 5� ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 OF WORK 11 BLD., [IPLMB. ❑ MECH. [:1M.H. ❑ POOL ❑OTHER CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK /�.5 J`dt � ! < !/ ' Enum. Dist. Location (Area)
8 / �� � �� ` FEES COLLECTED
VALUATION SOU/RCE ,(/ G 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 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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION I/ L 2-3 —S-/ SIGNATURE OF APPLICANT Mech. �G7• G"SLj
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
Ix
y( fie.
PERMIT IS NONTRANSFERABLE
Plan eck
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
.9f ;, I��
*2 ?0
*2700
N
217 7
6.1179.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11°25�`=81 217,87-
*25.000