HomeMy WebLinkAbout1979, 10-25 Permit: 79-6711 Mechanical Fixtures PL4N NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT S 79'-6, 71/
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /lJ — --c-5-79
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
01 * * 1 500
1 JOB ADDRESS
+((,, tt _ SS_ LEGAL DESCRIPTION — SEE ATTACHED * 1 5. 0 0 i7
LOT BLOC` 3BDIVISION
PARCEL NUMBER/S * 1 5.0 0 U
2.
QWNE d PHONE E * Q,0 0 E
3. SAD �y..yb .. (� �� 671,0
ADDRESS -Required-. ZIPlRequired Set Backs in Feet
'Ct7C C Orl '- _-_ V�-7//�I�,- North 'SouthEast (West 1 0-2 55' -7 9
CRACTOR PHONE Size of Parcel Zone Classification
2 6 L.7 9,
4' ADDRESS p ZIP Type Const. Occupancy Sprinklered
t 3 "1-4' N) Dyes ❑No ❑ Req'd.
DESI R PHONE Valuation Building Area in Sq. Ft.
ADDRESS ZIP DWL Area Basement Area r Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
� No. Baths No. Floors No. Rooms Rec. Room
TYPE ��4.va>EW ❑ ALT. El AD'N. ❑ RPL. ❑ MVE.
7. OF / ❑ OTHER -
WORK ElBLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK FEES COLLECTED
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 construc '.n or the
performance of c��o//nstrucc7tioGn. + Plumbing
DATE ted�2-`i--` / / SIGNATURE/14^�`^ �`�•'.'
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA o
Planning U
— w
Fire Marshall Mobile Home ' CC//)
—
Co. Engineer Other (Specify)
Utilities
CIP
TOTAL $ [
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist —79 THIS BECOMES A PERMIT.
DATE OFFICIAI f t4 /0(14/L// 7 0
1 C C. _ ! / r. i1� 1 :' ,* 15� 0 0 Q. i-
APPROVED FOR ISSUANCE