1981, 10-09 Permit: 81B-487 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT N�MER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES,- PRF,.SS HARD TO MAKE 3 COPIES
* * 14.00
B °���� S�u.� eLEGAL DESCRIPTION - SEE ATTACHED 0 * 1 4 0 0
LOT BLOCK SUBDIVISION F PARCEL NUMBER/S
* 1 4.00
2.
OWNER PHONE
3. 1esAe. i'- ro7 !, • // 9dfr - 73418- R * 0,00
AD RESS / ZIP Actual Set Backs in Feet 4 8 b
/Y// 7 SA.4,0 z e S i rtes, e 7902/6 North 'South East (west 1 0 -0 9-8 1
CONTRACTOR PHONE Size of Parcel Zone Classification
4. 4-/ a..4_/ / 1-/T / £/orf /,tet`- fAi - o 6r�79.
ADDRESS �� ZIP Type Const. Occupancy Sprinklered
0 7/, bye-4,c,, ,z s 4,,-ve �9,v.?/'G ❑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 ❑ NEW ❑ ALT. 0 AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ElBLD. 1:1PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) '
8. /4.-s t /1 FA e Ath 7 e 6Q'S J-FX.✓lzs c fe/k e FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private 0 Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included i _
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/.A
DATE OF APPLICATION /v— 2 - fri SIGNATURE OF APPLICANT j'' - � :L-s- ^
- -' - Mech. /D'Ci�J
SPECIAL APPROVALS SPECIAL CONDITIONS: /•r- �� Y,ad
NAME DATE
‘; 4l a �L�✓C f / ��6� Plan
Env. Health
SEPA
i
Planning
Mobile Home
Fire Marshall
i
Co. Engineer Other(Specify)_
Utilities
TOTAL $ ("76-
Plans
"7UPlans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
c nicia PERMIT IS NONTRANSFERABLE �.�� 9 �'8 ,� 4 8,7 z * 14 O O a _
f PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL