1979, 07-23 Permit: 79-882 Mechanical FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD Fly MAKE 4 COPIES
1.
2.
3.
JOB ADDRESS
?;A I 7 Ao-�, ..
F
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
ADDRESS"/� �yy�
.r. ,� 1.Ll.i / 1
APHONEAQ
1> PL F_,
ZI P
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South East )West
TRACTOR Wit 4. ` 1 t t �t,.d t
At.st RESS
5.
DE IGNER
PHONE
5
AD ESS
6.
CHANGE OF USE FROM
TO
PHONE
ZI
Size of Parcel Zone Classification
C
Type Const.
Occupancy
Sprinklered
Oyes ❑No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
DWL Area I Basement Area
Garage Area Storage
Rancher
No. Rooms Rec. Room
Split Entry
Split Level
TYPE
7. OF
WORK
❑ NEW 'ALT. 0 AD'N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. MECH; 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
E
RK
8.(Se1\ W�4 ktmp E 1
VALUATION Source
of
9 Utilities
r b
G
K AS
ELECTRIC
, .r ce la tin)
WATER SEWER
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
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 // j
of construction.�
DATE `/I6/ rig SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE OFFICIAL
APPROVED FOR ISSUANCE
Not Req'd.
FEES COLLECTED
Single S
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
15,00
15 c0
DATE
PERMIT NUMBER
7 7- 20,.
04* *15.00
*1500
*15006
A *000
88.12
07-23-79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS COME A PERMIT.
U7-25-79 8 8. 2 *15,00.°