1980, 03-31 Permit: 80-2893 BoilerPLAN NUMBER APPLICATION/PERMIT PERM,T NUMBER
I- SPOKANE COUNTY -BUILDING CODES DEPARTMENT o �3
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 15091455-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
.r/d I LEGAL DESCRIPTION—SEE ATTACHED
3. CHNP/
ADDRESS
E /neJ2
4' ADDRESS
PHONE
5' Aooaess
7
ser'E.
No. Banos No. Stories No. Rooms No. of Dwellings
TYPE � NEW El ALT. C3 AD'N. El RPL. C3 MVE.
], OF 1:1 OTHER
WORK 13 BLD. ❑ PLMB.MECH. ❑ M.H. C3 POOL CERTIFICATE Rep'tl. I Rec'J. NOt Req'E.
I Seem. Dist I Location (Areal I FEES COLLECTED
rzCR
w� yUU Ct one LGL'Sou WATER SEWER OwOersme USE CODE
F
9. VTIO
LIT, E$ ZU he A Private ❑
Single $
1 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 APPLICAT10t)— //_ wM{
Mech. F�'00
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
U t
Fnv. "altI,
SEPA
Plan n'. n9
cit$"is �r%/N%
Mobile Home
Other ISPeclfid
Fire Marsoal
Co. Eogmee'
TT.en e:
TOTAL $ 9.0 Ci
04a •900
+400 9
*9.00r
F *0" S
289.28
03-31-80
R 6479
PERMIT IS NONTRANSFERABLE I fJ / "3.1!— 6 Ij 9, 3 _'- i.0
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSIIFD PFRMIT N1 mTcl