1982, 12-15 Permit: 82B-1951 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 TO MAKE 3 COPIES
1.
2.
3.
JOB ADDRESS
Ea.4J- 12208 - 8.h. Avenue
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNER
ADDRESS
Lynn Ru.heh.{v.nd
Ea.s. 12208 - 8th. Avenue
PHONE
ZIP
99206
Actual Set Backs in Feet
North 'South [East (West
4.
CONTRACTOR
Powers-, INconpona.ted
PHONE
535-7714
Size of Parcel 1 Zone Classification
ADDRESS
Ea4S-t 6507 Mat on Avenue
ZIP
99206
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation (Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
O BLD.
O ALT.
❑ PLMB.
ftf AD'N.
n MECH.
❑ RPL.
0 M.H.
❑ MVE.
O POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK 1 ea. heat pump with e.Yectn- ca.?
8' Avit0UC9 F VLICttIOhh con'iect t0 Ih.(Q.L✓ia, ne/l Ldto
VALUATION SOUOFCE I GAS ELECTRIC WATER SEWER
9. UTILITIES
Enum. Dist.
60xea
Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
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 of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
12/75/82 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
4.00
Pe,'rmit 10.00
Other (Specify)
TOTAL
$ 14.00
PERMIT NUMBER
04* *14,00
*1 4.006
A *0.00 8--
1950f.
12-15-82
6.479,
•
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12-15-82.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
195.15
PERMIT NO.
*14,00ar
TOTAL