1980, 12-01 Permit: 80B-4289 Mechanical FixturesBER 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 ADDR S
C) k�� ,� LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCKISUtSUIV151L)N PARCEL NUMBER/S
2.
OWNER P ONE
nqg
3.
ADDRES
ZIP
Actual Set Backs in Feet
,,`_�
/I--,�
(DJ )
North South
East West
CONTR iLIR )
(
n `
V(ch3 Kr
PHONE ,
3,5sAD
ize of Parcel
Zone Classification
4.
ESS _. 1/r
ZI
�ic�
Type !!7rccupancy
Sprinklered
Dyes ❑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.
'�I NEW El ALT.
TYPEOF
❑ AD -N.
❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7
❑OTHER
❑ BLD. ❑ PLMB.
� �MECH.
❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area) FEES COLLECTED
8. 1
VALUATION I SOURCE GAS ELECTRIC WSEWER
;^�.� � ATE Ownership USE CODE
OF
9. UTILITIES C— 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 INSPECTION�S Plumbing
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SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
0
Plan Check
&06-
�
SEPA
Mobile Home
Other (Specify)
TOTAL •"a
PERMIT NUMBER
'SO4
-+2- 0%
04 * * 1 3.00
*13,00
* 1 3.00
A *C00 "
4288
12-01-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ing T clan r PERMIT IS NONTRANSFERABLE .1 2J' 0.171 l0. 4'2 0 z *'110: 0 Q.F
i`Q