1980, 06-03 Permit: 80-5308 Mechanical FixturesPLAN NUMBER APPLICATION/ PERMIT
PERMIT NUMBER
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
LEGAL DESCRIPTION —SEE ATTACHED
32C-->
* 1 c. O C)
LOT
BLOCK
I SUBDIVISION
PARCEL NUMBER/S
2.
E * C 10
OWNER
PHONE
GOZ
G
3
5 `7 ��. 7
ADDRESS
ZIP
Actual Set Backs in Feet
v ^ �� �
North South East West
36-03-80 6_03_r8n
CONr
AC
OR
PHONE
Size of Parcel
Zone Classification
1 � K (/J
= 6479,
4' ADD 55�
//
Type Const.
Occupancy
Sprinklered
® Q�
i((,
❑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
s.
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
Baths No. Stories
No. Rooms
No, of Dwellings
7 ❑OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
1:1 BLD. ❑ PLMB. 13MECH. 1:1M.H. El POOL
WORK
of EXEMPTION
I
DESCRIBE WORK �� J Enum. Dist. Location (Area)
FEES COLLECTED
8 IIJ
O
VAL A ION SOURCE GAS ELECTRIC WA ER 11 SEWER Ownership USE CODE
9. 1UTILOFITIES 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
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 IN ECTIONS Plumbing
Mech._O
DATE OF APPLICATION—6 SIGNATURE OF APPLICAN
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE F1 pi �7 { li 1 I 1 Plan Check
Env. Health
� � v�� "' 4 / � I J
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
Plans Examiner
SEPA Checklist
g i e Urjr ygan I
PERMIT IS NONTRANSFERABLE
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.06-03-80 5'x:0.80
*12.00°l-' -