1981, 11-16 Permit: 81B-1865 Mechanical Fixtures PLAN NJMB.7R APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT I ' 1B- /n 5
4 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
C.;//
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 4 * * 1800
E -� � LEGAL DESCRIPTION — SEE ATTACHED
1. LOT BLOCK SUBDIVISION PARCEL NUMBER/S
* 1 0 0 1,
2. * 180V_'
OWNER PHONE
3. 11 ,1..EN '$O p_CT 1-1 O g.5-1- 53 i-{--Z73-0 A * G.0 U
ADDRESSSI' �y 'TM ZIP Actual Set Backs in Feet 1 8 6 4 -
a.. 6'if7 1 "4 "II 2.0 6 North 'SouthEast (West
CONTRACTOR PHONE Size of Parcel Zone Classification 1 1 " 1 6 -8 1
4. NORTHWEST 14EATINC- d- Ails. GDNDITIbNIWG g2d'-Z2?b :If6 4 7 9,
ADDRESS n� O y�,� ZIP Type Const. Occupancy Sprinklered
1 o N. 1 RK- -- 1 OAP yAFlJ/NOE-S Y(4016 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE ,—,,! No. Baths No. Stories No. Rooms No. of Dwellings
L9'NEW ❑ ALT. 0 AD'N. ❑ RPL. 0 MVE.
7, OF [mss ❑ OTHER
WORK
CI BLD. ❑ PLMB. 11 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) 1
8. Co N V eR-s to N 13u KN E-e-- (Mil's? INS LIA— N '- P)iii 11ii I FEES COLLECTED
VALUATION SOURCE GAS E ECTRIC WATER SEW Ownership USE CODE
OF Public D Private ❑
9_ UTILITIESSingle $
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 co struction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION".j ' 17 S 1 SIGNATURE OF APPLICAN = .` " Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE '85;00C) BTL( 6 00 Plan Check
Env. Health 'S I ' III
SEPA
o_
Planning 71......r....1.,
7 t _ zp
11
_.Z.00 _ (J
Fire Marshall ONE 6L T�� Mobile Home u
.O a y
13Si g. to
Co. Engineer Other(Specify) it)
Utilities /
tri
TOTAL $ /O ire
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE ‘tl°f !%' " 5 •` o '1 � 81 1g �,'Sz d * Y8,OOal--
—
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL