1979, 09-26 Permit: 79-4759 Mechanical Fixtures _AN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 79—.4/ 7`5Y
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE e:/—eZl —Z
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' ; APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 4 * * 9 0 0
JOB ADDRESS * 9 0 0 N
>v �� ���„— LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S C
E * 9.0 0 U
2 OWNER PHONE *O.0 0 0
3. Ki KF FEPLJ k1 Ci., g- /61/ 475;82 H
ADDRESS, ZIP .� Required Set Backs in Feet
P.O.Roy 14410 j �j• PO i'��C .141c;!/At North 'South East (West 0 9—2 6—7 9
CONTRAC`rOR PHONE Size of Parcel Zone Classification
4. A— j HEP i i J( - 4 AiR/Gdk-YP /.9qrl63> 2 6479,
ADDRESS ZIP Type Const. Occupancy Sprinklered
E.20... - 1.J aLE S PoiCAnY5 4,26',9' ❑Yes ❑No CIReq'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. —
ADDRESS ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE Xl.NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK
Cl BLD. El PLMB. >2 MECH: ❑ M.H. 1:1 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
k)< — EAT'
T [7 w�1 -� FEES COLLECTED
8. ok K
VALUATION LI ���1 SourceL '� GAS ELECTRIC CTRIC WATER SEWER
of
9. Utilities XX
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. Plumbing
DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health cx
SEPA P
Planning — w
n_
Mobile Home cn
Fire Marshall
Co. Engineer Other (Specify)
Utilities �]
TOTAL $ 7 r 00
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS B COMES A PERMIT. _
DATE OFFICIAL O - G!— �' f AY ` * 9. 0 0 Q
APPROVED FOR ISSUANCE —