1980, 03-28 Permit: 80-2830 Mechanical Fixture PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT P a`e5
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES o; , * 5, ;, 0
JOB ADDRESSr
1. c/0/? /9� AOA 46?/ LEGAL DESCRIPTION — SEE ATTACHED ,.
LOT BLOC - SUBDIVISION PARCEL NUMBER/S * 5(j '`"
2.
OWNr) 11-IONE E ._ �, Ij i� r�
3. AD L1-%/1_, A0�1114L 1,4q�f-›- J 2 8 2. 9
.(�z iR ��//�� Required Set Backs in Feet
/'y/ /6 / i�-C6} . North 'SouthEast (West 0 3— 2 8—8 U
C41 ,
TOR PHONE Size of Parcel Zone Classification
21 2 //7d <`< 6479.
4.
1 -7 Z�C/ _�/ Type Const. Occupancy Sprinklered
7 ) 7 C/I!c-'`--� 6-1 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK El BLD. PLMB. El MECH: LI M.H. I=1 POOL
of EXEMPTION
DESCRIBE WORK
8. --A fe ( 1 ") FEES COLLECTED
VALUATION I �9. t�ties I GAS \\ ELECTRIC I WATER SEWER
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 —57)
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. Plumbing
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health FOR GAS: ce
SEPA r'
Planning PIPE SIZES: —
w
Mobile Home `n
Fire Marshall Z
PIPE LENGTHS:
Co. Engineer Other (Specify)
BTU'S:
Utilities TOTAL $ ��/
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THISSBrFCOMES,A,.P RMIT. r .
^^]�]��¢¢�7� � � � j�.��
DATF3—ASIOV OFFICIAL CjL,N.A/ '� II ?5 �=� J .- i�• % U _.f-.
APPROVED FOR ISSUANCE —