1981, 09-29 Permit: 81A-9979 Mechanical FixturesPLAN NUMBER APPLICATION/PERMIT IFERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT elt- -9979
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 15091656-3675
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APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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JOB ADDRESS
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LEGAL DESCRIPTION — SEE ATTACHED
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DESIGNER
PHONE
Valuation
Building Area In Sq. Ft.
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B O
PARCEL NUMBER/S
2.
ZIP
Main Floor Upper Floors
Garage Area
Storage
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PHONE
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CHANGE OF USE FROM
TO
Area Of Decks
Finished Basemen[
ADDRESS
6.
ZIP
Actual Set Backs is Feet
1. . /3 /
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ane
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North South East Wert
CONTRTTCTORc"llyr,"lle
No. Rooms
PHONE
Size of Parcel Zone Claszlncallon
TYPE El NEW ❑ALT. C3 AD -N. ❑ RPL El MVE.
7, OF El OTHER
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ZIP
Type Const
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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 Basemen[
Unfin. Basement
6.
I
No. Baths
No. Stories
No. Rooms
No, of Dwellings
TYPE El NEW ❑ALT. C3 AD -N. ❑ RPL El MVE.
7, OF El OTHER
BLp. ❑PCMB. ❑ MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Rec'E.
Not Rei
of EXEMPTION
DESCRIBE WORK
Enum. Dist. I
Locatlon (Areal
FEES COLLECTED
VALUATION
SOURCE As
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTI LOITIES
Public OPr Na[e ❑
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
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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
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DATE OF APPLICATION SIGNATURE OF APPLICANT Z
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SPECIAL APPROVALS
SPECIAL CONDITIONS:
/
NAME DATE
gl I K7 Tillie gr
Plan Check
Env. 11-11,
SEPA
Planning
Mobile Home
Fire Marshall
Other(SpeciPy)
Co. Fnginecr
"reps
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED
IN THISSPACE,
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THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
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PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. .TOTAL