1980, 07-08 Permit: 80-6773 Damper iliti APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT -I-1- - - 1 •
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 4'
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Job ADDRESS 0 4 * *7.0 0
, / LEGAL DESCRIPTION — SEE ATTACHED
1. ���� V. !/� �.C� * 7.00 tz
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. *7,006
OWNER PHONE E * O, 0 0 8
3. Do SSS sr- 1')'// /� )9 A�c ZIP V , ;7 Actual Set Backs in Feet 6 7 7,2
y)-.i ). A) . /e.es C/ Afr 9. ' . / C� North [South East (West
CONTRACTOR HONE Size of Parcel Zone Classification 0 7-0 8-8 0
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
E -/a7/C) -
_ J9.2/.6' Dyes ❑No ❑ Req'd.
DESIGNER 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 ❑ ALT. D AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION _
SCRIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED
8. J(�tj ��''' I
VALUATION SOURCE GAS• ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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
DATE OF APPLICATION /_ /" 4 ° SIGNATURE OF APPLICANj"P T Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >
Planning Q
U
Fire Marshall
Mobile Home w
Co. Engineer Other(Specify)
Utilities
TOTAL $ r
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ing
FEI4cIJYJAX'cYc
nician PERMIT IS NONTRANSFERABLE fl ,-iO ?'— 8 0 6 7�7,3 ° * 7. 0 0 O n F- —
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL