1982, 11-30 Permit: 82B-1469 Fuel Damper PLAN NUMBER APPLICATION/PERMIT PERMITNUM ER
MI7
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
1. . '3.Q �a J ,LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
AIORESS
in F
3 L . 1369 0 Q 4 ' ZIP— L�I4 North al Set Back'Sout eet East (West
C�N TRACTOR �. . n-,r-- P ONE Size of Parcel Zone Classification
a. 1�t`6 �`'`�'`�1 �fo2$‘ !o o 0 4 * * 1 4.0 0
ADf16E5$/ { Type Const. Occupancy Sprinklered * 1 400,x
k- I vL7i0 y( ait, Oyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. 4 * 0 ') C, L
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 468,-5
_
11 -30-82
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
6479.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. XMECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DEE WORKEnum. Dist. I Location (Area)
8. 1 d R. ` 1FEES COLLECTED
VALUATION SOURCE GAS ELECTR WATER SEWERUSE CODE
Ownership
OF ). Public ❑Private 0
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 of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION //' "'a SIGNATURE OF APPLICANT !I 0 Mech. /4112D_
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Ptah Check
Env. Health
SEPA >
Planning C)
U
Fire Marshall Mobile Home W
%i
Co. Engineer Other (Specify)
Utilitiesr� ff
TOTAL $ f`f''o o
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ech ici:n PERMIT IS NONTRANSFERABLE 11,-,3 0 -.8 2 1 4 6.9 z * 14 0 0 a 0,
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL