1982, 04-13 Permit: 82A-2750 Fuel Damper PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT M 62A -271S)
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS .,- a 4 * * 1 (I' 0 0
1. E.- it8t4 is-r`4 LEGAL DESCRIPTION - SEE ATTACHED 0 J
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
* 1400
OWNER PHONE r',, * 0 0 0 `
3. -t+E.L.)E. E 9U tvrc.-( 2G-4<d44
ADDRESS >� /ZIP Actual Set Backs in Feet 2 7 4. 9 :E
E `i t t.14- t.'7T " 4_4 a4rsf,c North 'South East
CONTRACTOR PHONE Size of Parcel Zone Classification(West ( 1 3 2
4. E.1 MEJ1.c°__E YVl►ae+c� cL nDC� eiD.4- 7 6 4 7 9.
G
�SJADDRESS /ZIP/,�cc. Type Const. Occupancy Sprinklered
-- . t�' 04L�I13 t�j0i .Q,(LD�'C A•-f Oyes ❑No 0 Req'd.
DESIGNER -- A- 44PHONE 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 // No.Baths No. Stories No. Rooms No. of Dwellings
NEW D ALT. 2 'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER
WORK
0 BLD. 0 PLMB. MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. 'Location (Area)
FEES COLLECTED
80 Sam FLACC_ --1. vvn?6 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 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 constru tion or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO, -,ii Plumbing
r
I T RE OF APPLICANT' // /i/% !1/ �L•.� Mech. 1"�•nC5
DATE OF APPLICATION _ _ SIGNATURE UCA T
SPECIAL APPROVALS PECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning •j
— .1
Fire Marshall Mobile Home i
Co. Engineer Other(Specify)
Utilities
TOTAL $ t4'•
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
i Technici PERMIT IS NONTRANSFERABLE (14ss'2 2 7 5, 0 z *1:4 0 0 a H.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL