1980, 06-16 Permit: 80-5810 Mechanical FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK .
8. Gl.." -
FEES COLLECTED
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
SourceGAS
JOB ADDRESS
ELECTRIC
WATER
SEWER
/5'W 7
of
utilities
LEGAL DESCRIPTION — SEE ATTACHED
1..4'
e
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
LOT
BLUCK
SUBDI SIGN
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
PARCEL NUMBER/S
2.
I
Plumbing�J
DATE SIGNAT-U—
C�
_
OWN
SPECIAL APPROVALS SPECIAL CONDITIO .
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
nNE
�
3.
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Zone Clearance
ZIP
Set BacksSoutheet
SEPA Checklist,
.ADDRESS
/ � /17
&ALA30OFFICIAL
j X e
"
G
��7
/
Norrthred
East West
ONTRACTO
PHONE
Size of Parcel
Zone Classification
Y,'
4.
ADDRESS
ZIV
Type Const.
Occupancy
Sprinklered
AA 7/d
5 7;L 6
❑Yes []No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE ❑ NEW
ALT. ElAD'N. El RPL.
1-1MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ OTHER
WORK ❑ BLD.
ElPLMB. �nECH: ElM.H.
ElPOOL
CERTIFICATE
Req'd.
Rec d.
Not Req'd.
of EXEMPTION
DESCRIBE WORK .
8. Gl.." -
FEES COLLECTED
VALUATION
SourceGAS
ELECTRIC
WATER
SEWER
9.
of
utilities
e
Single $
I 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,
Plumbing�J
DATE SIGNAT-U—
C�
_
Mech. _
SPECIAL APPROVALS SPECIAL CONDITIO .
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATE
SEPA Checklist,
THIS BECOMES A PERMIT.
&ALA30OFFICIAL
DATE 1
"
PERMIT NUMBER
DATE
04* *7,00
*7,00
*7.00
E 0 01
58092
06-16-80
2 6,479.
j