1981, 08-19 Permit: M81A-8303 Mechanical FixturesPLAN NUMBER
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
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISIO
PARCEL NUMBER/S
OWNEROWNER pf
3 L� Z'-�z, .+0" - � "�d
ADDRESS
PHONE
ZIP
Actual Set Backs in Feet
North 'South lEast 'West
CONTRACTOR 11(r
4. ADDRESS
PHONE
T
s
Size of Parcel Zone Classification
/:.3 zY ri< 41,1-4
DESIGNER
ZIP
e?7
PHONE
Type Const.
Occupancy
Sprinklered
Elves ❑No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
5' ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Storage
Unfin. Basement
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
,♦/M�4'D N. ❑ RPL. 0 MVE.
❑ OTHER
/MECH. ❑ M.H. 0 POOL
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
DESCRIBE WORKK
8. .4'- r
VALUATION
9.
SOURCE
OF
UTILITIES
Enum. Dist.
ILocation (Area)
Req'd.
Rec'd.
Not Req'd.
AS ELECTRIC
WATHIA
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
SIGNATURE OF APPLICAN
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Tyyqnician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. j 4.c
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
etH-8303
04* *14.00
* 14.00 N
* 14,006
A *0.00
830,2
08-19-81
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
O8-19-81
18'-'1
DATE ISSUED
830.32
PERMIT NO
*1400aF! -
TOTAL