1979, 11-01 Permit: 79-7127 Mechanical FixturesPLAN NUMBER
L�
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
/q 1PERMIT NUMBER
7;�
DATE
04* *7.00
7.0 0
*7.00
E W000 9
71269
11-01-79
7 9.
DESCRIBE WORK
8 -P FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
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
performance of construction. Plumbing
DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTAL $ _
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist OFFIC AL THIS�BI COI SIAPERMIT.
J. U� ,' 1.27` *7.00u
DATE/f ��
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1.
V SJ -LEGAL
DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
OWN
PHONE
3.
1
ADD VSS
ZIP
Required Set Backs in Feet
3 Y,19e
J1
�" �"
North South
East West
CONT ACTOR
PH NE
Size of Parcel
Zone Classification
4.
ADDR
IP
Type Const.
Occupancy
Sprinklered
pp
d®
t
Oyes ❑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.
TYPET
NEW ❑ ALT.
❑ AD'N. ❑ RPL.
❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
WORK ❑ BLD. ❑ PLMB.MECH:
ElM.H.
1-1OTHER
ElPOOL
CERTIFICATE
Req'd.
I Rec'd.
Not Req'd.
of EXEMPTION
/q 1PERMIT NUMBER
7;�
DATE
04* *7.00
7.0 0
*7.00
E W000 9
71269
11-01-79
7 9.
DESCRIBE WORK
8 -P FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
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
performance of construction. Plumbing
DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTAL $ _
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist OFFIC AL THIS�BI COI SIAPERMIT.
J. U� ,' 1.27` *7.00u
DATE/f ��