1982, 09-20 Permit: 82A-8406 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT �'�
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
- APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRE sLEGAL DESCRIPTION - SEE ATTACHED
1. / /7 / 4-4T-71
LOT BLOPK 'SUBDIVIS`ON J �" PARCEL NUMBER/S
2. 04 * * 19.00
OWNERS (f"/ * 1 9.0 0 v
3. / /
ADD Ss ;71 ZIP Actual Set Backs in Feet
�' �c �i''/A North 'South East 'West A * 0.0 0 0
CONTRACTOR PHO E Size of Parcel Zone Classification 8 4 0.5
4. ,�/�P DA c/ /v Pq.,26#7-6
AD RE s / `� ZIP Type Const. Occupancy Sprinklered 0 9- 2 0-8 2
. L 7 .a ���fJC Arc W/`L-'7 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. 0 6 4 7 9,
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unf in. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
NEW El ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK El BLD. 0 PLMB. VMECH. 0 M.H. ❑ POOL
of EXEMPTION
8
SCRIB J��� � � � L ,,, Enum.Dist. I Location (Area) '
/ G FEES COLLECTED
-tRC 2t1 io1 _ I
ALUATIO OURCE GAS LECYRIC WATER SEWER USE CODE
OF
Ownership
9. UTILITIES Public 0 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
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 construc or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
i t
DATE OF APPLICATION z7 SIGNATURE OF APPLICANT �� =— /;� Mech. `�'
lir
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
c,
Planning
U
Mobile Home -'
Fire Marshall
Co. Engineer Other(Specify)
Utilities
TOTAL $/q,oQ
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B /�, -chnician PERMIT IS NONTRANSFERABLE 0.9 2.0 —8 2 8 4 0,6 z * 1 9.0 0 a
S , , ,�767 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL