1980, 06-20 Permit: 80-6053 Mechanical FixturesPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
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 LEGAL DESCRIPTION - SEE ATTACHED
1. S . �,�
LOT I BLOCK] SUBDIVISION PARCEL NUMBER/S
2.
O ER PHONE
3. a -g 6 • v Zy- & r
ADDRESS ZIP
Actual Set Backs in Feet
{{
J ! z J
North South
East West
C NTRACTOR., PHONE
Size of Parcel
Zone Classification
{ 2s"d !1
4' ADDRESS i ZIP
Type Const.
Occupancy
Sprinklered
71". �-- , �� � /j
❑Yes []No ❑ Req'd.
DESIGNER PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS ZIP
Main Floor Upper
Floors I
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
i I Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
❑ BLD. ❑ PLMB. >?,-MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DES IBE WORK
,
c/0
Enum. Dist,
Location (Area)
FEES COLLECTED
_ _ -
8 C.J C-
VALUATION
SOURCE
AS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILOITIES
Public ❑ Private ❑
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 construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
neTG nG ecci ire�nnni cir_n�nTi ioG nG enol irn .9�L.�%
6 -ice yep ,>!
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
rianning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
fI Ning j1hlician
FOR GAS APPLICATIONS
PIPE SIZES
PIPE LENGTHS
BTUS
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
vo
TOTAL $�
04* *7,00
*7. r)0
*700u
B *C0(
605.2-9
06-20-80
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
06-2 0',919 605,36?
*7,0.0°r' -