1981, 11-02 Permit: 81B-1368 Heater PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT ' i3- 1-bc"E3
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. If
(e /9 ,E, Q rth LEGAL DES .RIPTION — SEE ATTACHED
04 * * lPoo
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 100
NER PHONE
3. d )AC m �1 -- ale—sScis * 1800
ADDRESS
Actual Set Backs in Feet A * 0. 00 o
/ 0 /9 /-` 9( 37"�0 North 'South East (West 1 367
NTRAC OR PHONE Size of Parcel Zone Classification
;5. 3 SE vLOrz @o q�y_J
4. 11 -02-81
/�ADDRESSC(� c�j ! /}`I Z 67
Type Const. Occupancy Sprinklered 6479,
/L. ' /()3 U rL'1, 1.1 5 9C) ❑Yes ❑No 0 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
❑ NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. ®-10-6H. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DEE W9,42K Enum. Dist. I
Location (Area) '
8. - FEES COLLECTED
VALUATION SO ``AS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILITIES ` rte' 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 10 ` a-1 - GI l SIGNATURE OF APPLICAIi� plc d► _2- (..POIAJ`N.. Mech.
'
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE /� e Plan Check
Env. Health / ' /(//, /t•-----74,,,-?'t-'‘"C"-
Planning �,�r/"fo""lll���a 0 0 614 ///�Y�-s1/l .,-__- SEPA ›-
Planning
U
Fire Marshall / �� _ Mobile Home - w
� J
1
Co. Engineer
/4/2+7
"T/t r ! /� Other (Specify)
c
Utilities •
/ �
C , 111
i-1-4--‘:-
TOTAL $ i 43'4 Vv
Plans Examiner
7.7.7r7
44 ,Z �.L�
SEPA Checklist L WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building
�(Te�Techni.tocian C �� / PERMIT IS NONTRANSFERABLE 1 '1`.,'Q 2'—8 <l 1 3 6.8 z * 8, 1-2.Q o ,
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
1