1981, 10-09 Permit: 81B-526 Mechanical FixturesPLAN 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
Z—:. J., 4ItIAI,4111 LEGAL DESCRIPTION —SEE ATTACHED
OVVER
ADDRESS
4---, � �O7 519,
CONTRACTOR
4.
DESIGNER
5.
PHONE
ZI
,2Gf�
PHONE
/%i%
ZI
yv�2-,�
PHONE
Actual Set Backs in Feet
ZIP
Jorth South
East West
;ize of Parcel
Zone Classification
CHANGE OF USE FROM
TO
Type Const.J
Occupancy
Sprinklered
s.
Dyes ❑No ❑ Req'd.
/aluation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
TYPE �,//
No. Baths
No. Stories
No. Rooms
No. of Dwellings
❑ NEW ❑ ALT. l� AD'N. ❑ RPL. ❑ MVE.
7, OF9`M
/ ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
❑ BL9JD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
_ s' j� /�
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
O
9. JUTILITIES1 Public ❑ Private ❑ Single $
1 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 �% ,n!
/2 DATE OF APPLICATION ��� SIGNATURE F A Mech. �-
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE �dJ Plan Check
Env. Health ' 1 f�_,�/C�'� <25;t )J")
SEPA
Planning
Fire Marshall
Co. Engineer
s Examiner
wilding Tec iciali
PERMIT IS NONTRANSFERABLE
Mobile Home
Other (Specify)
TOTAL $hl/f ev
r� PERMIT NUMBER
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10 .µ 0' 8 , 5 2 6'z
*16,'00ao� -