1980, 05-13 Permit: 80-4681 Mechanical Fixtures PLAN CNU�MBEER I APPLICATION/PERMIT PER'\'IT NUMBER
` o 0 I SPOKANE COUNTY — BUILDING CODES DEPARTMENT i* M-910-HGq t
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
C4 * * 13,00
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
* 13. 00 IT
1. �3i5 5. 4'd,- A; ,;_i �' * 13. 00
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE B * 000
3. Z.// S , , t/. r a-%ud a
ADDRESS , ZIP / Actual Set Backs in Feet 4 6 8 0 r
/o6C'c- /4, `, � • •,'/4 -v e, 44-, 9702 L,{s' North (South East
CONTRACTOR x f f PHONE Size of Parcel Zone Classification(West 0 5- 1 3-8 0
A f../ti at,4_ It/ 17 'a.1,_ - I 1/<llf—74-c 9v t-a?loo 6 4 7 9.
4. ZIP Type Const. Occupancy Sprinklered
ADDRESS /
' /,�2 ?/U /_.-01• hc-Y4, �, 'U. .e..e. �./i v1/6 Oyes ❑No ❑ Req'd.
DESIGNER lI PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. ❑ MECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK L Enum.Dist. Location (Area) ' FEES COLLECTED
8. y
/ TION SOUR CE GASELECILRIC
r /� ��y,�J
ALU 'WATER SEWER Ownership USE CODE
OF Public 0 Private 0
9. UTILITIES 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 1r / $.-
— t'. SIGNATURE OF APPLICAN '!'L''' / _ Mech. q•c' a
Mv
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE FOR GAS APPLIANCES ( Plan Check
Env. Health PIPE SIZES
SEPA
Planning PIPE LENGTHS _ c-
Mobile Home w
-
Fire Marshall BTUS -
Co. Engineer Other (Specify)
Utilities
TOTAL $ /.3'0e)
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B g c n`cian PERMIT IS NONTRANSFERABLE t ." 1' 8.0 4t 6 8.1 L * 1 3.0 0 ° i -
t MINI NL f 'Y.) PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISUED PERMIT NO. TOTAL