1981, 02-25 Permit: M81A-1798 Mechanical FixturesPLAN NUMBER
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APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.1q0:13")
.1a; 1 715 17';x;
OT 1 BLOCK SUBDIVISION
2.
OWNER
3 Artistic
LEGAL DESCRIPTION — SEE ATTACHED
onstruc ti on - Steve Pottratz
923-) 71
PARCEL NUMBER/S
ADDRESS
3. 2216 Bolivar Rd. Veradale, Wa. 99037
CONTRACTOR
4..Anderson's Heating & Air Oona..
ZI P
PHONE
928-0960
Actual Set Backs in Feet
North (South East (West
Size of Parcel 1 Zone Classification
AD REBS
E. o71 _'ansfield,
ZIP
99206
Type Const.
Occupancy
Sprinklered
Elves ❑No ❑ Req'd.
5.
DESIGNER
PHONE
Valuation (Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
4 -NEW ❑ ALT.
❑ BLD. ❑ PLMB.
❑ AD N.
❑ RPL.
ECH. ❑ M.H.
❑ MVE.
❑ POOL.
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. 30'. -car electric furnace & duct i ork
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELETIC
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
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
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
DATE OF APPLICATION
2/24./81
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
uc� 6/1 -GL ' YZ/
PJA/!,I..J /0,04
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
il'ti ei
TOTAL $ i l t 06
PERMIT NUMBER
04* *14,00
* 1 4.00 17)
* 1 4.006
A *0,00
1797A
0225-81
6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 2;7 2'5 —81
179.85 *1400a -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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