1981, 04-09 Permit: 81A-3288 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT '1 a A- 37_89
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
• APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
1. 5 , .;3.0o$ DI ooio arF 04 * * 14. 00
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 141; 0
OWNER PHONE * 1 4. 0 0 u
3. wR S Cc7NS:2. RI CL Si14t`cy fo2S-33 S'c)
ADDRESS ZIP Actual Set Backs in Feet A * C 0 0 T
5 s 3 '' `P/Aie—s 7920)6 North (South East
CONTRACTOR / PHONE Size of Parcel Zone Classification 3 2 8 7 r`_'
4. nNDe SV/1/s hi7 6 /3/d : 1=2g-OA 0 04-09-81
ADDRESS ZIP Type
Type Const. Occupancy Sprinklered
�` to 7/5- h1/e///S/�/4r-Z.,0 72,2 4 ❑Yes ❑No 0 Req'd. 6.4 7 9.
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.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 1 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF ❑ OTHER -
CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. fg MECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK 2c7J KIEnum. Dist. I Location (Area) FEES COLLECTED
8. /edit' g-44---erg/G. "--ibe /. LNAer-C .-1-ti f` 69.7141/41° I
VALUATION SOURCE GAS ELECTRIC WATER I SEWER Ownership USE CODE
OF y Public 0 Private 0
9. UTILITIES /` .r 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 �� SIGNATURE OF APPLICANT I • w. ._ Mech. t/V,eV
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
„r/l. /D, eV' SEPA . ate.
Planning CD
U
Mobile Home 4
Fire Marshall c90k") =Lee r�/C EC
FciRA) 1•S0
Co. Engineer - Other (Specify)
•-• ----/---77--T----
:s o
Utilities /�
TOTAL $�/ 'co
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. .,
Building Technician `'� _ PERMIT IS NONTRANSFERABLE 001-B41-,- 1 3 28.85 *14,00 °a -
etere,6 I` _.- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL