1981, 10-28 Permit: 81B-1211 Mechanical FixturesPLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
6 I NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
LOT 1--i=ocp
2.
OWNER
3. —) IV S'
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION - SEE ATTACHED
a-
DI ISION PARCEL NUMBER/S
PHONE
ADDRESS
ZIP
Actual Set Backs in Feet
Y
1 e
North South East
West
CONTRACTOR
Size of Parcel
Zone Classification
4'
ADDRESSc
ZIP
Type Const.
Occupancy
Sprinklered
y
! - / , 7 �_ { /IJ / >�i
❑Yes ❑No EJ Req'd.
9ESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
b.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin, Basement
6.
I
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK t'/i�;,Yh
Enum. Dist.
Location (Area)
8 % /j/ _> %'iU % _ ' i✓ l STi /�-
�Q
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECT IC
WATER
S ER
Ownership
USE CODE
9.
OF
UTILITIES
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 thisBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
I
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
i`E OF APPLICATION ` _�� a -� ___ SIGNATURE OF APPLICANT 1l `��%tom �1 C
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buisi, g�echnician
;, JJ /i . ef► -1, e... _
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 17, c�o
J4* * 1 7.00
* 1 7,00
* 1 7,0010
R *0,00
121.02
10-28-81
;2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12 L 1 z
*17,00 °�--, -