Loading...
1979, 09-25 Permit: 79-4691 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE _d —352/977 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 4 * * 15.00 1. JOB ADDRESS �� i LEGAL DESCRIPTION - SEE ATTACHED * 1 5 0 0 i LOT BLOCK SUBDIVISION J PARCEL NUMBER/S * 15.00 2. OWNER PHONE E * O.O 0 O 3 ADDR SS (� ZIP Required Set Backs in Feet 469.0 �.—fie North 'South East (West 09-25-79 CONTRACT R PHONE Size of Parcel Zone Classification i7,..� ✓ ff. 526-4/e7v 2 6 4 7 9 4. ADDRESS ZIP Type Const. Occupancy Sprinklered �j/ ,,;;,. ,/, � e-e 97,20g ❑Yes ❑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. ❑ RPL. ❑ MVE. 7, OF ❑ OTHER - WORK ❑ BLD. ❑ PLMB. ❑ MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE W...0..&„4, --7-- 8. "/� /�O/ !JI-04 �' ,A( / . / i/a` FEES COLLECTED VALUATION f Source GAS ELECTRIC �/ WATER f SEWER of 9. Utilities 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 /� d0 SPECIAL APPROVALS SPECIAL CONDITIONS: 7 DEPT. REQ'D. REC'D. Plan Check Env.Health / //_ /7`—(f/ /1 / cc � SEPA C) Planning / // �49/ — 2- a. Mobile Home f Fire Marshall z Co. Engineer Other (Specify) Utilities '�7 TOTAL $ /� '— Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist '. THIS COMECS A PERMIT. 7/P'"CV-21%,FFICI I ,� , C�� —2 ) 7 9 �. i6 9. 1 cl * 15, 0 0 °DATE • . . .. --- — APPRI r FOR ISSUAN