1980, 12-05 Permit: 80B-4513 Damper PLAN NUMBER APPLICATION/PERMIT PER�NUU BER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT IY1
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
1 LOT 13303-8thBLOCKSUBDIVISION PARCEL fJUMBEF./S
2.
OWNER PHONE U Li. * * 1 1,C C
3. fcl Ortrn)lae 924-4947
,,, 1 1, C 0 u,
ADDRESS ZIP Actual Set Backs in Feet
E. 13'303- 8th Spokane, WA 99216 North 'South East (West * 11.C 0
CONTRACTOR PHONE Size of Parcel Zone Classification
Ah.M Quality Heating Inc . 928-2100 -' * au P
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
E.12710 Indiana. 9926 Dyes ONO ❑ Req'd. u L I `'f
DESIGNER PHONE Valuation Building Area in Sq. Ft. 1 L-C; 5-8 0
Same
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 6(+ 7 _
SamP
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPEtgl.NEW ❑ ALT. ki AD'N. ❑ RPL. 0 MVE.
7, OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. 0 PLMB. ® MECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Enum.Dist. Location (Area) '
8• Install Save Fuel Darper & Ameri-Therm Damper I FEES COLLECTED
I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES XX 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 /(2// /10 SIGNATURE OF APPLICANTN7-.1644-- Mech. 3.00
3.00
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health Install 6" Save r'uel Damper & 4" Ameri-Therm
Planning Damper on Water Heater Piping. SEPA
C)
Mobile Home '-'-r
Fire Marshall _J
L.T.
Co. Engineer Other (Specify)
Utilities TOTAL $lI .00
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
.-' uilding`Tec i ian . � PERMIT IS NONTRANSFERABLE 12'--8 '5 8 0' 45 13 z *.110 0 d F.
��` '- `� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL