1980, 01-28 Permit: 80-601 Mechanical FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1
JOB ADDRESS
1_��,e/�r���
fL(OT � K SUBDIVISION
2.
LEGAL DESS"RIPTION — SEE ATTACHED
3. N (/.Q.D,c/
ADDRESS
CONTRA. CT
4 e a %,'—t
ADDRESS
D SIGNER
5' ADDRESS
PHONE
qrz(o-3q
ZIP
qq .z
PHONE
ZIP
17Q��
PHONE
PARCEL NUMBER/S
Required Set Backs in Feet
North (South East 'West
Size of Parcel Zone Classification
Type Const.
Occupancy
Valuation
Sprinklered
Dyes ❑No ❑ Req'd.
Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area Garage Area Storage
CHANGE OF USE FROM
6.
TO
Split Entry Split Level Rancher
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
9.14
DSS RISE WORK •
e4144A-644ZUZ-70 ,OF dO "3
VALUATION Source GPCS ELE RIC WATER
of
Utilities
SEWER
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 granting of a permit does not presume
to give authority to violate or cancel the provisions of any other st.te or local law reguating construction or the
performance of construction.
DATE / - SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
ire Marshall
Engineer
�ies
:I ea rance
hecklist
SPECIA C'NDITIONS:
p/
6
E 2 F - go A`/t,4,ci d a,vtt .t.�
DATE OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
1a-6of
DATE/ —�
*
* 14.00
* 14.00
* 14.006
E *0,00
6008
01-28-80
2 64.79,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01-28-80 60,15 *1400a�