HomeMy WebLinkAbout1981, 01-15 Permit: 81A-531 MechanicalAPPLIGATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
`-� APPLICANT: COMPLETE NUMBERED SPACES - PRE;SS HARD TO MAKE 3 COPIES
JOB ADDRESS �2
SS �- LEGAL DESCRIPTION - SEE ATTACHED
LO BLOCK B I ON PARCEL NUMBER/S
OWNER !� PHONE
ADDRESS ZIP Actual Set Backs in Feet
C a- O North South
CONTRACTOR PHONE Size of Parcel
4
PERMIT NUMBER
87 ,� 5-31
v4* *1800
*1"00 s
*1800
A *0.00 `3
530=
0.1 - 1 5-81
ADDRESS ZIP Type Const. Occupancy Sprinkleredel b, 4 % 9
k-
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE El NEW 1-1 ALT. El AD'N. El RPL. El MVE.
7, OF El OTHER
❑BLD. ElPLMB. ❑ MECH. ElM.H. 11 POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8 - UDDB T
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
OF
UTILITIES
Public ❑ Private Cl9,
Single $
"NOTICE"
,
I hereby certify that I have read and examined this application and have read the 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
o o
d,✓✓�
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°ate
'
A v�
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech._�
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
�✓�-n—
V�•
Env. Health
�i
SEPA
Planning
/ 'l UX�
Mobile Home
Fire Marshall
v
Other (Specify)
Co. Engineer
Utilities
TOTAL $ �
v
—/lo "O
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
B 'Iding Te hnici PERMIT IS NONTRANSFERABLE ol'''I rJ`"V 11 .5 1'a.,0 0 4 F
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
CL
C
c.
— LL
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