1979, 08-16 Permit: 79-2325 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 6 -743-3--79
Z 3 2..c
'7
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
04 * * 1 4,00
JOB ADDRESS1,z$2 ed, LEGAL DESCRIPTION — SEE ATTACHED * 1 4.0 0 n
LOT BLOCK 132qSet I'N PARCEL NUMBER/S 2. * 1 4.O O1SUBDIVISI
p
OWN PHOUE 8 *'0.0 0 O
3. RE v L O Cl PE 924
ADDRESS ZIP Required Set Backs in Feet 2 3 2 4
'5 North 'South East 'West 0 0 — 1 6 7 9
CONT CTOR p PHONE/j (� �
J O Size of Parcel Zone Classification
4. ADDRESS 1,114447 ,6
Z 40 ! Type Const. Occupancy Sprinklered
tt2 6 4 7 9,
`` /-
Iv SWC 0(23LI Elves ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. 0)I l Cril
�,� No. Baths No. Floors No. Rooms Rec. Room
TYPE CI NEW EirALT. El AD'N. ❑ RPL. ❑ MVE.
7, OF / ElOTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK
III BLD. ❑ PLMB. , , ..ECH: ❑ M.H. El POOL
of EXEMPTION
DESCRIBE WO K FEES COLLECTED
8. �N S'L(k CCf i 'QL'j I UNI lig r IAA: 4— vi t( Cl InP✓ G�a.a
VALUATION Source GAS ELECTRIC WATER SE(NER
of v'�
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
Plumbing
performance of construction. :
ii
DATE C-1- 1��C SIGNATURE Mech.(�y/J __,...4,..
SPECIAL APPROVALS SPECIAL CONDITI a
DEPT. REQ'D. REC'D. i\ ,%G Plan Check
Env.Health CC
SEPA o
I—
PlanningV ( _ C..)
Lu
z
d
Fire Marshall Mobile Home z
Co. Engineer Other (Specify)
Utilities TOTAL $_, 1i/, (7
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
�j/, THIS BECOMES A PERMIT.
SEPA Checklist DATE Ass,--/6-75' OFFICIAL 7%d 0 8 — 16 —7 9 3 2, 5 * 14.0 0 0_ I—.
APPROVED FOR ISSUANCE