1981, 04-23 Permit: 81A-3848 ACAPPLICATION/PERMIT 111605 PERMIT NOMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT M 81 R 3
NORTH 811 JEFFERSON /SPOKANE. WASHINGTON 99360 / 15091 456-3675
APPLICANT: COMPLETE NUMBERED SPACFS — PRESS HARD TO MAKE 3 COPIES
JOB ADOREss
t E. 13119 10th Ave. LEGAL DESCRIPTION — SEE ATTACHED
ZIP I Actual Set
99216 v,,,„,
4' ADDRESS
5.
❑Ve5 [IN. O
._. __.... ._. ..__..,. __. _. _.. _.....,.
TYPE IIIINEW ❑ALt. ❑ q0'N. Ll RPL. El .,E. .._. ......
J, OF ❑OTHER 'J.
WORK BLD. ElPLMB. MECH. LlM.H. El .on CERTIFICATE He0Rec'E. Not Re0'tl.
of EXEMPTION
DESFBIBEWORK I Enum.0151. ILOCdtI001Aredl
8. FEES COLLECTED
install air conditioning
0 I 1800
*luC„
-1800"
A *C 2r
33d ?:9
04-23-81
f 6479
9, UTILITIES I I I Puplle 13 Private ❑ I
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
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 APPLICATION '7/— 71Z SIGNATURE OF APPLICANT�e�n"— /, Le �I4
10.00
Mem. 4,50
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Healtn
SEPA
Plannl ng
Mobile Home
Other lS f 1
peel y
1.4.00
TOTAL $
Fire Marsnan
co_ E n—rr
Unntle;
Plans Examiner
WHEN MACHINE VALIDATED
THIS BECOMES AO PERMIT.
IN THIS SPACE,
seen cneckus
PERMIT IS NONTRANSFERABLE
0 411-2113;'- 8. �I
O
3 84 8 i •14 Q ¢f —
ulny Ternnlcian
_
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. TOTAL