1982, 10-15 Permit: 82A-9650 Mechanical Fixtures PLAN NUMBER PERMIT NUMBER
APPLICATION/PERMIT (�
SPOKANE COUNTY — BUILDING CODES DEPARTMENT ,1/ a')
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
/v` APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS1. 13719 AC39.--r9,/&,tit-e-e2 LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCE'NUMBER/S 0 4 * * 1 9. 0 0
2.
OWNERPHONE �/ * 1 9. U 0 6
3. (L' . 9. , /� - „..- � � 2e7/' A * U,00 0
ADDRESS ZIP Actual Set Backs in Feet
..,<:1<"-t/71,1-32---'✓�..,<:1<"-t/71,1-32---' 994:320 6 North 'SouthEast (West 9 6 4,9
CO ACTOR j PHON Size of Parcel Zone Classification
4�D6 S3 0 3 , ZIP,�D „j Type Const. Occupancy Sprinkl=1
(� /Kw`/ ,Cj// }{�� ❑Yes ❑No ❑ Req'd. 64 7 9
'DSIGNER �I// PHONE Valuation Building Area in Sq. Ft.
iit .....
5' ADDRESS // ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM„ g
TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
0 NEW ALT. 0 AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK
1=1 BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
` of EXEMPTION
DES IBE WO;K P It) 4L Enum. Dist. Location (Area) '
8. . i' �� 651, reU,M/ I FEES COLLECTED
VALUATION SOURCE GASELECTRIC WATER EWER Ownership USE CODE
9. I6O/nPublic 0 Private 0 `�
UTILLITIES
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
// 0,,_00
DATE OF APPLICATION SIGNATURE OF APPLICANT I. !iI A /4 o Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE �n.�j� t� Plan Check
Env. Health (2) I/M �-J �v -- ��
��jjyy u� iI///� pG� SEPA >-
0..
Planning �7v�.- 114 I - '✓ U
r Oa Mobile Home w
Fire Marshall I j J
Co. Engineer Other (Specify)
Utilities TOTAL $_9
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. )
''ding r ,echni �n PERMIT IS NONTRANSFERABLE _ 9 6 �j,0 z * 19. 0 0a.1-
tS§, 1 5 8 .Zi
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE UE PERMIT NO. TOTAL