1979, 11-21 Permit: 79-8246 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT M 7 q—g-2",/k
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE/1—‘2-1-7
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 4 * *7.0 0
JOB ADDRESS iiv LEGAL DESCRIPTION — SEE ATTACHED * 7.0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S *7,0 0 WI—
C-)
2.
OWNER PHONE E * 0.0 0 0
3. `7Ats,) K WC- 535—Sit/P 8 2 4.5 2
ADDRESS ZIP Required Set Backs in Feet
P.O. 804 g57 g 499.203 North 'SouthEast (West 1 1 —2 1 —7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
4' A—I HEAT Oa- Aw 4 /comp 44.9-95"81 2 6479.
ADDRESS ZIP Type Const. Occupancy Sprinklered
E_45N 1ELILE 9q.2Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No.Baths No. Floors No. Rooms Rec. Room
TYPE
NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER
WORK ElBLD. 0 PLMB. lg,MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK i�
8. )t�M P LL. c I, I2 t.J f41 H ANpLE 4 '/NG W OR K FEES COLLECTED
VALUATION Source GAS EL CTRIC WATER SEWER
of .r
9. Utilities >x
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. Plumbing
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
7_
SEPA O
Planning c._.)w
a-
Mobile Home
Fire Marshall z
Co. Engineer Other (Specify)
Utilities �J
TOTAL $ /i OD
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist // .z/_ -717THIS BECOMES A PERMIT.
L�
DATE OFFICIAL, �/L1'J2 11 L 21 -7 9 S 2 46 z 7. 0
OR
r2
APPROVED FOR ISSUANCE