1980, 07-28 Permit: M80-7753 Mechanic 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
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOI
2.
OWNER
3.
SUBDIVISION I PARCE— NUMBER/S
ADDRESS 0
Actual Set Backs in Feet
r
7� (
North South
East West
CONTRACTOR ^
i r
PHONE
Size of Parcel
Zone Classification
4'
ADDRESS
ZF
Type Const.
Occupancy
Sprinklered
-]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
D'N. ❑ RPL. ❑ MVE.
❑ NEW ❑ALT.tECH.
% OF ❑OTHER
WORK ❑ BLD. ❑ PLMB. r ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
of EXEMPTION
DESCRIBE WORKEnum.
cL:
Dist.
Location (Area)
FEES COLLECTED
$�
VALUATION
SOURC
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
I UTILOITIES
!'—
Public ElitePrva❑
Single $
1 hereby certify that I have read and examined this ap'ptication 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 loc
w regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSP� TIO
Plumbing
DATE OF APPLICATION / C-fJ— L SIGNATURE OF APPLICANT-
�%
`'-�` )(a �iiU ����i
Mech.
SPECIAL APPROVALS
NAME DATE
anning
re Mar
dans txaminer
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
FOR GAS APPL
PIPE SIZES
PIPE LENGTHS
BTUS
S
PERMIT IS NONTRANSFERABLE
PERMIT FXPIRFC nIUF VFAR FRnM nATF nF: ICCIIAIUCF
Plan Check LL_
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER.
/YF6- -1;7--3
7
04* *9,00
*9'00 N
*9,00
E *000
775,22
07-28-80
2 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0.7 �8�80 77:5.30
nATC ICCI Ir -r1 OCMIIIIIT -1
X9.00 (OL l --i -
Tl1TA 1
c
C
C
IF