1981, 01-21 Permit: 81A-0718 Heater •
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT el v
4 r\) / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
04 * * 1700
JOB aooREss LEGAL DESCRIPTION — SEE ATTACHED rri
1. . -006S % L i= G ,�/✓tom i * 1 7, 00
LOT BLO K SUBDIVIS ON PARCEL NUMBER/S * 1 7.0 0 U
2.
j gA. 71,1;6--i ? ?'
ONE to * OU c
3.
OWN
/ y -A- all 71,7
ADDR SS /�}�i ! Actual Set Backs in Feet
/1(0 IQ UA- �re5 bo/.4..__A y ( at).6 North (South East 'West 0 1 -2 1 —8 1
CONTRACTOR PHON �y Size of Parcel Zone Classification
4. t 1 (�j�l� ,� ftF/ � �T Me —r (`Cl3 6,479,
ADD ESS ��� ZIP Type Const. Occupancy SpDyes ❑ ri kl❑d
Req'd.
-12? 16 ..T �o/ASA • 7419-(
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 1A.NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK
0 BLD. CI PLMB. �iMECH. ❑ M.H. I: POOL
of EXEMPTION
DESCRIBE ORK s%r Enum.Dist. Location (Area) '
Li-� 4- /O tit1�1 �,y ,` ' r` I FEES COLLECTED
8. VALUA ION SOURCE GAS, ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 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 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 �o
DATE OF APPLICATION I /�- /0 I SIGNATURE OF APPLICAN
�' Mech. 45_644_/ i
SPECIAL APPROVALS SPECIAL CONDITIONS:
�,, /
NAME DATE i n .If JPlan Check
/ .- -1/"(Env. Health /' � -•-� _ _
Q' �,. /�-ht,�.�✓"���/� w l.. -.. F ---.,--
SEPA -
Planning +i"`"�C.: _' !�''�' - - 1� r)
Li
Mobile Home --J
Fire Marshall i_
L.
Engineer Other(Specify)
/7 0o
Utilities 4TOTAL
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
i
Bui .^ '1
g avian PERMIT IS NONTRANSFERABLE .0 21 8.1. 7 18 z' * 1 7.0 0 RP'. -
`mss PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL