1981, 10-28 Permit: 81B-1220 Mechanical Fixture PLAN NUMBER APPLICATION/PERMIT
j®J� PE(RRMIIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
XJ CO)0� 12- `C1
' NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
Jo�ADDREss - LEGAL DESCRIPTION - SEE ATTACHED
iJ . * * 1 00
1. .,) . Ok LbiLi_"Jint.)t ( i , 1 . 00
LOT BLO K BDIVISION PARCEL NUMBER/S
2. Q. * 1800
OWER PHONE * C
AD ESS ZIP Actual Set Backs in Feet
C;� 1s-) + ' L 121,9
3 - 1 V(✓ o IL I YUL J,,1, __ North 'South East (West
CO TRACTOR P NE /^� Size of Parcel Zone Classification 1 0_2
1�) �) c �� ) , �-�ilie r YA/-4�6�18 9. 1
4. ,. �� �l' X479.
ADDRESS
J� ZIP, f Type Const. Occupancy Sprinklered
p ) - �c� / L .:, / )) L19 0 ri
❑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 F� TO Area of Decks Finished Basement Unfin. Basement
6. Com.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPENEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
7. OF OTHER
WORK ❑ BLD. ❑ PLMB. ZrICJ MECH. ❑ M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
ESCRIBE WORK , {.1.` /7 , r Enum. Dist. I Location (Area) r
8.--=)'. .') \-i--.1(-( Vl-JL / Y C) l-i I i i)' ti,:-MI-G i t , l FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF
9. UTILITIES 1. Public ❑Private 0 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.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS� Plumbing
DATE OF APPLICATION /C) • )`j. 1 SIGNATURE OF APPLICANT ( p
"-'-
- '1'L !\ '
k) CJ(/! ) ejh1JL A) IS
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning O
LI - v
Fire Marshall Mobile Home J
u.
Co. Engineer /o _, a Other (Specify)
Utilities
I/ `G j/�/► TOTAL $ 112-(96
Plans Examiner tie
i .
11��11 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
E l ? '
uilding Technician PERMIT IS NONTRANSFERABLE r'1 'rt, .,�'L,8 1 �� O z .* 1 8' ((�� D J
(T" PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
UPERMIT l0b�FOLF-