HomeMy WebLinkAbout1980, 10-31 Permit: 80B-3008 Damper PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT F j5^ �'�
r,/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
'
JOB ADDRESS �� t LEGAL DESCRIPTION — SEE ATTACHED
LOT B K BD! ON PARCEL NUMBER/S '
2 OWNER PHONE
3. -Ta'c/C L c.,,4.-:".-/,4.-7 /44- ,,,, 92V-/7c c I
ADDRESS ZIP Actual Set Backs in Feet I
>
tA i� ,SnO
4. � G 't iE', , (-4.-,_ 5‘202c�✓2 ; North 'South East West
CONTRACTOR �% PHONE Size of Parcel Zone Classification V (( * * 7, 0 0
4. .41/'�I Ci,it— / h//'ktf/,vy rf6, f /, ,:- 07Y-?/U r' * 7
ADDRESS / ZIP Type Const. Occupancy Sprinklered C v
4
/‘2 7/41 / i4`/—`rL / �% e• �i99 /4 ❑Yes ❑No 0 Req'd. *7, 00�DESIGNER
PHONE Valuation Building Area in Sq. Ft. rrI nn
r * 0 C'
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storagef
300.7 ;_ -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unf in. Basement 1 0-3 1 -8 0
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings ,s.:
6:4.79.
0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. Location (Area)
8.j�.S to// i'l�� r A i N 6-42',5 `40 Y 7.—. I FEES COLLECTED
VALUATION SOURS GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
•
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
DATE OF APPLICATION /61 3e" e '' SIGNATURE OF APPLICANT • --- "X,-- -=--e-r -- Mech. 3, C C'
04..e�r,.�" y, U C)
SPECIAL APPROVALS SPECIAL CONDITIONS: Y
NAME DATE ..,...g Plan Check
Env. Health
SEPA a
Planning CD
V
Fire Marshall Mobile Home w
w
Co. Engineer Other(Specify)
Utilities
TOTAL $ �•4 4,r
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buyldin Tec nici PERMIT IS NONTRANSFERABLE1'0,i,
Si * J
,J(4 . , z . c- 1'04,31: 8 30Q8z 7.00AL►-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL