1980, 01-24 Permit: 80-527 MechanicalPLAN 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 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIV15ION PARCEL NUMBER/S
OWNER
3.
ADDRESS
le
CONTRACTOR
4.
ADDRESS
Al
Al i,"-' -Z
DESIGNER
' ADDRESS
CHANGE OF USE FROM TO
6.
PFJ,ON
ZIP
PH�IV E
.53� X7/1
PHONE
ZIP
I YPL ❑ NEW ❑ ALT. ❑ AD'N. XRPL. ❑ MVE.
% OF WORK 1:1 BLD. 1:1PLMB. I�MECH: ElM.H. 11 POOL
❑ OTHER
Required Set Backs in Feet
Size of Parcel
Zone Classification
Type Const.
I Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE Req'd.
of EXEMPTION
I Rec'd.
Not Req'd.
DES RIBE WORK _
FEES COLLECTED
8• L�!� 11�/L �N/� �+ L/ri✓/ci�s,� U/�. �li��� �tiJ G'l'1s' C� ! �/
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. utilities
Single $
1 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
Plumbing
performance of construction.
DATE / q SIGNATUR_
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
Zone Clearance
SEPA Checklist
DATE L aLI —'Y.JOFFICIAL�--4
DATE
PERMIT NUMBER
i4* *11.00
*11.00 M)
*1 1,0061
E *000 0
5262,
01-24-80
6,479,
TOTAL $ ,/ efd
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 24=8'0 5 27 z
*IL00'-