1982, 06-07 Permit: 82A-4597 Fuel DamperPLAN 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
1.
2.
3
JOB ADDRESS
L / / /
LOTADBLO C/K S BDIVI ION
LEGAL DESCRIPTION — SEE ATTACHED
4,/ rTRACTO
VC)/�!A-- RESS
Al 3
DESIGNER
5.
ADDRESS
�PjHONLE�4Q
ZIP t
J9� o U
PHONE
I 7-192 V
PHONE
ZIP
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South
Size of Parcel
Type Const.
Valuation
Main Floor
Occupancy
East
'West
Zone Classification
Sprinklered
❑Yes ❑No 0 Req'd.
Building Area in Sq. Ft.
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
❑ NEW
❑ BLD.
D CRIB WO'.
8.
VA LT_I ON
!rJ ALT. 0 AD'N.
0 MECH.
0 PLMB.
SOU RCE
OF
UTILITIES
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
GAS
ELECT RI
WATER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
r Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
Req'd.
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
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 INSPECTIOk S
DATE OF APPLICATION SIGNATURE OF APPLICANT S
SPECIAL APPROVALS"
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
w echnici
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Recd.
Not Req'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
4 597
04* *14.00
*14,00,
A *Q00 �n
459,6.E
06-07-82
6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'15 07' 8,2 459.72 *1.4.00 -