1980, 10-16 Permit: 80B-2106 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMIT PE.r.;ViIT r+#1MBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT e g - ()&'
0. NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
04 * * 9.00
JOB ADD Ess .�./� LEGAL DESCRIPTION — SEE ATTACHED
_ i l'l ,izy�-tom' * c).0 0 ro
LOT BLOCK �SUBDIVISION / PARCEL NUMBER/S
2 * 9.006
OWN PHONE A '^
3. ..,121e-1)—e—, , 9
ADD sss a/�fi` /,lei/7 Z Actual Set Backs in Feet 2 1 G.5 0
/� 0� North [South East (West
C TRACT Raj PHONE Size of Parcel Zone Classification 1 0- 1 6—8 0
Wel, Do-'-.1ao q 6 4 7 9,
4' A ESS
ZIP Type Const. Occupancy Sprinklered
l(4e1Z-6
fta la'7/O Oyes ❑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.
TYPE k<
No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ILf ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF El OTHER
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
8. gpFtg -pc-E WORN ����, 4 �. Enum. Dist. I Location (Area)
!ye%�+�� /,�7p FEES COLLECTED
I I
VALU AVON SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
F�
9. UTILITIES ft, Public ❑Private ❑ 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.SEE REVERSE SIDE FOR REQUIRED INSPECTIONSTI ! / - Plumbing
DATE OF APPLICATION /41)...-19'''S.C.) SIGNATURE OF APPLICANT )f " -'IG c-44'14-i,4-" Mech. 1,CPC.)
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
i
Planning <
Mobile Home
Fire Marshall
i
Co. Engineer Other(Specify)
Utilities
TOTAL $ mC_
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
�- v w AI
• PERMIT IS NONTRANSFERABLE 1 0 .--0
—8"Q 2 1.0,( z * 9, 0 0 a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL