1980, 11-05 Permit: 80B-3261 Mechanical Fixtures PLAN NUMBERj r 7,&, APPLICATION/PERMIT
� ' PERMIT NUMBER
163(� SPOKANE COUNTY — BUILDING CODES DEPARTMENT �f..9 2.4V/
C")
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS �n i 03 * * 800
1. .-5 C / C - a.- 2 �C LEGAL DESCRIPTION - SEE ATTACHED * " G 0 ti
LOT BLOCK SUBDIVISION -/LJ� PARCk-.NUMP,ER/S * H.O O
2.
OWNER �— PHONE O O CJ
iq,ol l G r� 9.Y-' y,P3-
ADDRESS ZIP Actual Set Backs in Feet 3 2 6.0 z
t5--f North 'South East (west 0 1 - 1 5-8 0
CONTRACTOR� , r PHONE Size of Parcel Zone Classification
4. /<<.�'y�'�-� �cr _. d ".5,.5.- 9- y,Av g 6 4 7 9,
ADDRESS / ZIP Type Const. Occupancy Sprinklered
r<) cr / `C-7f/,,,�^,,,/Lys¢,Z, 9�. J 6 Oyes ❑No 0 Req'd.
DESIGNER /► ��"/i PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS v 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
0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK ❑ BLD. ❑ PLMB. A MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
``pp of EXEMPTION _
DEE–�S[C/�IBE
/�WORK /21'/ q�q,_ �`,'`�'`'J C�j �/ 1 �� ;2\\-C- Enum. Dist. ILocation (Area) FEES COLLECTED
8 VALUATION SOURCE GAS �E ELECTRIC WAT SEWERa Ownership 1 USE CODE
OF
9. UTI LLITIESI 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
type of work will be complied with whether specified herein or not. The grantingof a Building
Yp p p 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 /11�`6. --.�r
j SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
>-
SEPA
Planning i'>
()
Fire Marshall Mobile Home ��
i1.
Co. Engineer Other (Specify)
Utilities 17 G
TOTAL $ a
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERWIIT.
B din Tec ician�j PERMIT IS NONTRANSFERABLE I,1 t05'—''8 0. 3 2 �-1.¢r *&00 d 0.
R���L 6t.:.:4....,)
-4..' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE ,
DATE ISSUED PERMIT NO. TOTAL