1981, 03-05 Permit: 81A-2056 Mechanical Fixture PLAN NUMBER APPLICATION/PERMIT ,l� PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT /�� I
,,,A._ ...... .,„ I
(4/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
i. Joss ,�/ � I, 04 * * 17. 00
-,,i-,-, ,k--
R� EGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVIS N PARCEL NUMBER/S fr 1 i, 0 0
2. OW f R/ *
PHONE 1 7. 0 0 c_
3. • �f7/ : A * 0. 00ro
AD ESS ``? ZIP. Actual Set Backs in Feet
�' ji'794 ,. ,r� '>'i; e- 1 I 2 o 5.5
North South East West
Cj1N RACTOR J PHONE Size of Parcel Zone Classification
0 3-0 5-8 1
4. /.2:-e-7-2-44<._.-\-. -�✓7rt_G-f' / ,-"�J 'j �-s ,/ -/
DR SS /
4,71 1 �f zipType Const. Occupancy Sprinklered 6.4 7 9.
w L r,1'6---/e 6. C 7
i L.. ti,,?' Oyes ❑No ❑ Req'd.
SIGNER 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 Unf in. Basement
6.
TYPE 1 No.Baths No, Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑,./6N. ❑ RPL. ❑ MVE,
7, OF ❑ OTHER
WORK ❑ BLD. 0 PLMB. 'MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
/s of EXEMPTION
DESAIBE WORK ("` Enum.Dist. Location (Area) r
8- \- t'1 �I /"d: _.
1 FEES COLLECTED
VALUATION
SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 Private 0
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 -
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 INSPECTIOIyS Plumbing
� '''���-y tF/t- • /7'
DATE OF APPLICATION l SIGNATURE OF APPLICANT 1 - / '--- !�7 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
Planning
SEPA >-
a.
O
U
Fire Marshall Mobile Home
w
a
U-
Co. Engineer Other (Specify)
Utilities
TOTAL $�—
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
'Iding Te ian r. PERMIT IS NONTRANSFERABLE 0'3i=
0 81:
205.68 *117, 002,y PERMIT
EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL