1981, 07-08 Permit: 81A-6779 Heater, Piping PLAN NUMBER APPLICATION/PERMIT g PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT SIA -‘1-76t
(1)l NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 04.* * 1 9„G 0
t33�Z ,,� AVE LEGAL DESCRIPTION - SEE ATTACHED * 19.00
LOT BLOCK SUBDIVISIONPARCEL NUMBER/S”
2. * 19, 00
OWNER PHONE
3. scpr C\ --P0T2e7cam 42.4.--r(70 A * 0. 0 0 3
ADDRESS ZIP Actual Set Backs in Feet 6 7 7 R g
G. t,' -Ji z Q r-'` tijiVG fi=t ZC North (SouthEast (West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 7—0 8—8 1
JNcs i-1eotr1 rucZ NG -P4cf b 4 7 9.
4' ADDRESS ZIP Type Const. Occupancy Sprinklered z
32..Zs- /V Zcc� C;t6`W"7 DYes ❑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 WI/NEW
7/ No.Baths No. Stories No. Rooms No. of Dwellings
LL NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF f 0 OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. I=1 PLMB. MECH. ❑ M.H. CI
of EXEMPTION
DESCRIBE WORK
c Enum. Dist. I Location (Area) 1
8. ?bb?Obi_ .1- 4TEt2 l Pi NG C 1 z--• co 11 Tt..b I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public D 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
4 DATE OF APPLICATION 7/- SIGNATURE OF APPLICANT _ `. -.4-- Mech. IC{.00
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
a_
Planning CD
C.J
Mobile Home w
Fire Marshall J
Li:
Co. Engineer Other(Specify)
Utilities
TOTAL $ q =06
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 0,7.- ..,0 &,x,8'1 6 7 ,7,9 2 *1 9.0 0 d H
9,00,:y C .9014j PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL