1981, 07-21 Permit: 81A-7243 Mechanical FixturesPLAN NUMBER
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
-00
1.
2.
3
JOB ADDRESS
E. 8313 Valle ay, Spokane, WA 99206
LOT SUBDI ISION
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
Leslie J. Leimbach
PHONE
924-2139
PARCEL NUMBER/S
ADDRESS
Same
ZIP
99206
Actual Set Backs in Feet
North (South East IWest
4.
CONTRACTOR
AOM Quality Heating
P�I± 1E2100
Size of Parcel 1 Zone Classification
ADDRESS
E. 12710 Indiana, Spokane, WA
DESIGNER
5' ADDRESS
ZIP
99216
Type Const.
Occupancy
Sprinklered
❑Ves ❑No 0 Req'd.
PHONE
Valuation I Bugging Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unttn. Basement
TYPE
7. OF
WORK
O NEW 0 ALT. 0 AD N. 0 RPL. ❑ MVE.
O BLD. 0 PLMB. ®%MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
$•Installation 6" Save Fuel Damper in furnace vent
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
xx
gas urn
ELECTRIC ll WATER
Enum. Dist.
Location (Area)
SEWER
Ownership
Public 0 Private 0
USE CODE
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
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 rem':ting construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION 7/20/81 SIGNATURE OF APPL(CAN
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marsha
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Meat
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 14.00
PERMIT NUMBER
ccA-7 13
04* *1400
* 140.0
* 14.006
A *Q00 3
724.2
`07-21-8.1
2 6479.
WHEN MACHINE.VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
aif 7243= i*140Oa�l
DATE ISSUED PERMIT NO. TOTAL
T
0.
0
—J
LL