1981, 01-29 Permit: 81A-0980 Mechanical Fixtures 'PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
.1
/� SPOKANE COUNTY — BUILDING CODES DEPARTMENT A- - 0,,,,,,,c)
I / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
�/ APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS Q L) * * 1 9, 0
1. c, 14 \ .-TA LEGAL DESCRIPTION - SEE ATTACHED * 1 C'
LOT BLOC SUBDIVISION PARCEL NUMBER/S
2. * 1 9, 0 0 L
WNER PHONE
3. . >��C iC/�mINC-r S3L-1 -CoS% * �'
ADDRESSCc� nth t� ZIP 1 Actual Set Backs in Feet 9 7 9
, \J�C Qom'Q L , -S '<k\-)c �P., �9.1by North 'South East (West
C NTRACTOR I I PHONE \ Size of Parcel Zone Classification 0 1 —'2 9—8 1
4. ,P-1 IrW..f\T 1CVG Poe- CAY6 CN i Ti ow- 4g9--cts 1 a 6 4 7 9.
ADDRESS �, 1A)� ZI Type Const. Occupancy Sprinklered
F. �w, 0.D 'VEALc , 1\o ` . ac3f, ❑Yes ❑No 0 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 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK
0 BLD. I=1 -
PLMB. MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
• t of EXEMPTION
DESCRIBE WORK )S , K W rEnum. Dist. Location (Area) T FEES COLLECTED
8. :1:(\s-1-11., aye, T ) 1s nNo_- m.) j CZII . d�PA")b1 .. I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 Private 0 Single $
I hereby certify that I have read and examined his 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 (� h Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICAN � ,� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATEpt,rr �' °
Plan Check
Env. Health y 57
t/+ I--(,1)41 f30 SEPA 2
Planning p
Fire Marshall (7 12�uirq v2"0 Mobile Home
F 1!r Y ii.
47'
Co. Engineer Other(Specify)
Utilities
TOTAL $ n , eso
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THISBECOMES A PERMIT.
u 'ng ician PERMIT IS NONTRANSFERABLE0ll; 9 d O J
24-�8'1 98,02 *1'9.00a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL