1980, 07-15 Permit: 80-7086 Mechanical FixtuesPLAN 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 ADDRES
LEGAL DESCRIPTION — SEE ATTACHED
klE
LOT I BLOCK' DI I ION 0 PARCEL NUMBER/S
PHONE
PERMIT NUMBER
4-10`t3�o
04 *1500
* 1 .5.00 N
* 1 5.00
E *0.00 00
ADDRESS
ZIP
1�
Actual Set Backs in Feet
708.52 C8.5
North South East
West
iVN TRCT R /` .� //
PHONE
Size of Parcel Zone Classification
07-15-80
�1�` C��,
-1?
4' AD 75�
ZI
Type Const.
Occupancy
Sprinklered
z
6479,
–�
❑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.
TYPE NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths No. Stories
No. Rooms
No. of Dwellings
s
�Q .
7, OF— / ElOTHER
1:1 BLD. El PLMB. MECH. El M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
`
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area),
FEES COLLECTED
8�� ��
VALUATION
SOUORCE
I GAS
ELECTRIC
WATER
E ER
Ownership
U5E--4Q0Jj „4
�
9.
UTILITIES
Public ❑ Private ❑
Singlngl e
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 e
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
Plumbing,
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
r
rl \
DATE OF APPLICATION / �� SIGNATURE OF APPLICA .0
Mech.
SPECIAL APPROVALS
NAME DATE
nv. Health
anning
ngineer
ns Examiner
n
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
4�
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 5- 8 '0 7 0 $,6
*15.00° -