1983, 08-23 Permit: 83A-8078 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY —.BUIL9ING CODES DEPARTMENT �/ =gid—` -°075
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
(________._,
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
7 %�,', �� �� f LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDI ISION ! PARCEL NUMBER/S
2.
OWNER l PHONE
3. C%. - 4/Y /%�,;
ADDRESS ZIP Actual Set Backs in Feet
North 'SouthEast 'West
CONTRACTgg�� PHONE Size of Parcel Zone Classification
4. .te /�' ,/sir-5-/9-7,-- -9(f 6-/-6
ADDRESS ZIP Type Const. Occupancy Sprinklered 0 4 * * ,I [).~, 0
Dyes DM) ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. * �' C
Ei * 0 t-
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
80? 7_
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings Si 6a 7 9
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF El OTHER
WORK IDBLD. D PLMB. MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE �_WORK Enum. Dist. I Location (Area) t
8. /�M �1 -de/ Ail
,i / IFEES COLLECTED
VALUATION SOURCE GAS ELECTWATER 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
U — � �r -3
DATE OF APPLICATION � SIGNATURE OF APPLICANT A" _i -- e"/ Mech. ( Li -...-
SPECIAL
SPECIAL APPROVALS SPECIAL CONDITIONS: (_____../
NAME DATE Plan Check
Env. Health
SEPA
a.
Planning v
Mobile Home "'
Fire Marshall -j
y
Co. Engineer Other (Specify) ///
Utilities /1
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bull. .gk ,.tnici A PERMIT IS NONTRANSFERABLE 0 8 t23--,8'3 8 0 7, 8 z * 14.0 0 a p
Bull,
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL