1980, 08-11 Permit: 80-8370 Mechanical FixturesPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
0 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS 14ARD :'O MAKE 3 COPIES
J ADDRESS r
� LEGAL DESCRIPTION —SEE ATTACHED
1. f 0I I -n
7LOT BLOCK S B I I ION
2.
NER
s. e ems,
ADDRESS
Fd Actual Set Backs in Feet
North 1South
CONTRACTORPFJONE
Size of Parcel
Zone Classification
�t
—`J
4.
DRE S
ZD6
Type Const.
Occupancy
Sprinklered
®
❑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.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE ❑ NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
7 OF 11 OTHER
1:1BLD. ElPLMB. ElMECH. 1-1M.H. ElPOOL
CERTIFICATE
Req'd.
Rec.
NotdReq'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
8
FEES COLLECTED
VALUATION1
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
I
I
I
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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
o�
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech. 13
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED
SEPA Checklist
THIS BECOMES A PERMIT.
ding Tec cian
-� J(
PERMIT IS NONTRANSFERABLE
�f rj -- � �' 0,
, r
PERMIT NUMBER
O[I * * 1 3:00
* 1 3.00`
A *0.00
e,I-zjb92
08-11-80
6470,
E,
X37.0 *13.00°-J