1980, 08-01 Permit: 80-7999 Damper PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 9
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ,,ete,72LEGAL DESCRIPTION — SEE ATTACHED 0 a * *7.0 0
LOT BLOCK SUBDIVISION "� PARCEL NUMBER/S
2. * 7.006
OWNER P ONE E * 0,0 0 c
AD/DRESS , ® Z (� �f Actual Set Backs in Feet 7 9 9 8 g
//4 /V / dy,,,e/,f�/J �/ 2,4i North 'South East 'West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 8—0 1 —8 0
" 1/ • i, '; = o� X 4 7 9,
4' ADDRESS IP Type Const. Occupancy Sprinklered
/. 7M; _/ , �,ir�#r �«/� Oyes 0 N ❑ Req'd.
DESIGNER 9! 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. ❑ RPL. 0 MVE.
7. OF ❑ OTHER
WORK 1:1BLD. 0 PLMB.- .+MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WOAK Enum. Dist. Location (Area)
8. e/d I FEES COLLECTED
VALUATION SOURCE/i,X ELECTRIC WATER SEWER Ownership I USE CODE
OF Public 0 Private ❑
9. UTILITIESSingle $
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
1
DATE OF APPLICATION c) / SIGNATURE OF APPLICANI�J<� -/• ..../n) Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
i
Co. Engineer Other(Specify)
Utilities0 cJ
TOTAL $/
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
_in`T ician-- PERMIT IS NONTRANSFERABLE U $ O 1 '$ 7 CJ 9• G * 7. Q
-C��/u� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL