1981, 08-26 Permit: 81A-8562 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMIT PE ,MIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT a1 ' ^' $5 c'i-
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESSC L) * * 1 9.0 0
1 •‹---
-,),C � -- LEGAL DESCRIPTION - SEE ATTACHED * 1 9.0 0
j_474-
(�/ 1/41 A 1G-z
LOT BLOCK SUBDI ISION PARCEL NUMBER/S
2. * 1 9.006
OWNERUdi i , PHONE A * 0 0 0
ADDRESS ZIP Actual Set Backs in Feet 8 56. 1
North 'South East (West 0 8_2 6—8 1
CONTRAC OR r PHONE Size of Parcel Zone Classification
4' ADDRESS ' (C� ZIPType Const. Occupancy Sprinklered
/,o (,-) ` / 7 -3 .. J elf)e, 7 Dyes ❑No 0 Req'd.
DESIGNS& 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.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 BLD. 0 PLMB. �,MECH. 0 M.H. 0 POOL ❑ OTHER
CERTIFICATE - Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION _
DESCRIBE WORK / -/1�1�- ' '� / Enum.Dist. Location (Area)
/ 02n t,14-ti 5 FEES COLLECTED
VALUA9TION SOURCE GAS ELECTRIC ATER SEWER Ownership USE CODE
OF
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 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
A 11111,4,"0:970fi
DATE OF APPLICATION ' / — SIGNATURE OF APPLICANT r�-% , - Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n_
Planning - D
,.a
Fire Marshall Mobile Home a
Co. Engineer Other(Specify)
0 dr
Utilities `
/
7 l
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ilding Techn' 'an4. PERMIT IS NONTRANSFERABLE i0}'8.':-,2 {-'8 1 8 5 �.2 -z *]. 9•� 0 °"�;
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL