1980, 09-08 Permit: M80-9741 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 3 COPIES
JOB ADDRESS
1. t� I �{�'n...l,�,y, L r LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOC
2.
OWNER
3.
ADDRESS
7w —
4. ADDRESS
DESIGNER
5. ADDRESS
SUBDIVISION F PARCEL NUMBER/S
CHANGE OF USE FROM TO
6.
PHONE
ZIP
2
PHONE
ZIP
PHONE
ZIP
Actual Set Backs in Feet
No. Baths
North South
East West
Size of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
WORK
of EXEMPTION
Main Floor
Upper Floors
Garage Area
Storage
Enum. Dist. Location (Area)
8. ljV,7_1.
Area of Decks
Finished Basement
Unfin. Basement
TYPE 1:1 NEW El ALT. El AD'N. 1:1 RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. IV MECH. ❑ m. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist. Location (Area)
8. ljV,7_1.
FEES COLLECTED
�, 1G
VALUATION SOURCE GASf ELECTRIC
WATER ! SEWER OwnershiOF p
9. UTILITIES Public ❑ Private ElSingle
I F�77
$
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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
I t�
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, y
_\J�.�
DATE OF APPLICATION .Y� ,.- }f�(,�' SIGNATURE OF APPLICANT �'� '��`-^'
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
PERMIT NUMBER
y..7
C4* *7.00
*7.00 L
974.09
09-08-80
o
6479
SEPA i
c
Mobile Home
L
Other (Specify)
,-
TOTAL $ /
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
o9�.Og_g,0 97412
DATE ISSUED PERMIT NO.
X7.0.001 --
TOTAL