1981, 08-14 Permit: 81A-8129 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT gll� - eta
(0} NOT811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 04 * * 2 60 0
1. Eads 12919 – 11th. 9 9 2 16 LEGAL DESCRIPTION — SEE ATTACHED * 2 60 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 26006
OWNER PHONE A * 0.0 0 u
3. Dwight MacKenzie
ADDRESS ZIP Actual Set Backs in Feet 81 2 8 2
E a s t 1 2 9 7 9 - 11th - 99216 North (South East west 08- 1 4-8 1
CONTRACTOR PHONE Size of Parcel Zone Classification
4. Power . Inconponated 535-7714 z 6479.
ADDRESS ZIP Type Const. Occupancy Sprinklered
Eaot 6507 MaU.2on Avenue 99206 ❑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.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW D ALT. G'] AD'N. ❑ RPL. ❑ MVE.
7. OF WORK ❑ BLD. 0 PLMB. E MECH. 0 M.H. 0 POOL ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist.
a ReApta.c�e jwwrnace, Inistai.L _Lee pump hot wciteA k.�ex. !Location (Area)
FEES COLLECTED
VALUATION- SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech. 16 _ 61)
SPECIAL APPROVALS SPECIAL CONDITIONS: C
NAME DATE ru�� k��lG $fel Plan Check
Env. Health
SEPA rt›–
.
O
anning
,�)
Fire Marshall Mobile Home
Co. Engineer Penm�. I n _ nn
Other (Specify)
Utilities
TOTAL $ 26.00
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B "(ding T niciann PERMIT IS NONTRANSFERABLE '0.'81. 1.4:—::8-1.. 8'1 2'9 g *2.� 0 a -
r� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL