1980, 10-08 Permit: 80B-1610 Mechanical Fixture PLAN NUMBER APPLICATION/PERMIT / PERMIT NUMBER
Pi
SPOKANE COUNTY — BUILDING CODES DEPARTMENTS ^���
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 / I
DAT I A' a119 AO
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 4 * % 1 2.0 0
JOB ADDRESS 1
/7 ��g / LEGAL DESCRIPTION — SEE ATTACHED * 1 2.0 0 rn
1.
LOT BLOCK SUBDIVISION 'l PAA–CEL NUMBER/S * 1 2 0 0 6
2. ///
OWNER G "k PHONE A �` 0,0 0
3. ,,fir 74.4..,A(1)..GAil ciA6 ' 77QD 1 6 0 9
ADDRESS ZIP Required Set Backs in Feet
qQ i . j 6 North 'South East (West 1 0` 0 8—8 0
ze of Parcel
CONTRACTOR Y 11 --1 a /J �� PHONE.4018 Si ZIP Type Const. Occupancy Zone ClasSprintkloered 6,4 7 9,
4. ADDRESS L}(riCiV jt� �`rr
Oc) ' '� ck q a.07 ❑Yes ❑No ❑ Req'd.
DESIGNER !/� n PHONE Valuation Building Area in Sq. Ft.
6' ADDRESS �^ ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM /�, TO.✓`T`^." Split Entry Split Level Rancher
6. if
TYPENo. Baths No. Floors No. Rooms Rec. Room
❑ NEW ❑ ALT. ❑ AD'N. VI RPL. 0 MVE.
7, OF ❑ OTHER
WORK ❑ BLD. 0 PLMB. C54.MECH: 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8.
t�� ,e_cuvvon, FEES COLLECTED
et t ex,VALUATION urc ,�✓ �7!GAS ELECTRIC WATER SEWER
of L/..--r
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 construction or the
performance construction. (
0 Plumbing
r�
DATE 00 go SIGNATURE r ✓ Mech. 1 0.c...70
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health FOR GAS:
T
SEPA cp
U
Planning PIPE SIZES: / 11 ._
Fire Marshall Mobile Home —
PIPE LENGTHS: / 5 1
Co. Engineer Other (Specify)
BTU'S: p 0/0
Utilities /420/0
TOTAL $ iZeaO
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE, (�
SEPA Checklist ��'/J THIS IBCOIVIF :A P OBMIT 1 6 0 z * 12. 0 U p0 IJ
DATE Gly OFFICIALL99 9- -'� 11 ((JJ �U• 0
APPROVED FOR ISSUANCE (� —