1980, 10-14 Permit: 80B-1941 Mechanical FixturesPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT'S
l� 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
LOT FLOcK
ISUBDIVISION PARCEL NUMBER/S
2.
ER PHONE
—7 1
3.
ADDRES Z P Actual Set Backs in Feet
i North South East West
CONTRAC OR PHONE Size of Parcel Zone Classification
`
4. ADD ESS ZIP Type Const. Occupancy Sprinklered
-Iles ON. ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE F TO Area of Decks Finished Basement Unfin. Basement
6.
TYPER L. ❑ MVE. No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ALT. ❑ AD'N. ❑
7, OF L�(BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL El OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK `P�
of EXEMPTION
8. tion(Ar
DESCRIBE WORK /� Enum. Dist. Locaea) FEES COLLECLy
TED
VALUATION SOURCE GAS LECTRIC WATER SIEOX ER Ownership USE CODE
OF Public E)Private F-)9. UTILITIES
Single $
1 hereby certify that I have read and Iexamined 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 IN _ECTIONS Plumbing /� ,
�j �tl f�DATE OF APPLICATION �-aft SIGNATURE OF APPI ICAN 1ffL�.Al Vlv R. Mech.
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
i
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
n
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
14* *1200
1 ._ 'J
1 2.00
A
1 9 4,
10-14-80
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10>�Il4-.80 19 4. 1
*12,00°r -