1981, 09-08 Permit: 81A-8989 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILD`NOq-ODES DEPARTMENT
a
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. l',.--- • fi(Jr aicieet-Alkiiki LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2 OWNER P ONE i
s. 1441
UJ'� �' �(/�y�I —.I f 7'
ADDRES A ZI Actual Set Backs in Feet
CONTR CTOR a 1 /� � pHO E 4
North
r h Parcel 'South East Classification' st
_ 04 * * 16,00
c—Y, LtiC
4' ADD ESS�j ^� A�� ZIP Type Type Const. Occupancy Sprinklered * 1 6 0 0
I—: f; gI l C CI 02-/el ❑Yes ❑No ❑ Req'd. * x
DESIGNER PHONE Valuation Building Area in Sq. Ft. 1 6,O O cs
A * 0,00
J. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 9 8 _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unf in. Basement 0 9—O 8—8 1
6.
No.Baths No. Stories No. Rooms No. of Dwellings 2 6 4 7 9,
TYPE yiNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK 0 BLD. ❑ PLMB. IMMECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
y
8.
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
VALUATION SOURCE A ELECTRIC WATER SEWER
Ownership USE CODE
OF .
9. UTILITIES Public 0 Private 0 Single $
I hereby certify that I have rea 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 Building
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 I S Plumbing
DATE OF APPLICATION 7._ � j� I SIGNATURE OF APPLICA Mech. L-t-t-=
SPECIAL APPROVALS SPECIAL N ITIONS:
NAME DATEe(L'IrliA,kei. ACL'iL41 Plan Check
, 61.4
Env. Health
e
>-
`Cj/lJI7tS� CQp HSEPAPlanning grayca
Fire Marshall Mobile Home
Co. Engineer Other(Specify)
Utilities /j� �
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
g
Te PERMIT IS NONTRANSFERABLE .0 918�98 f $ ,1. 8 Q 8. 9 z *160 °a F
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL