1981, 11-30 Permit: 81B-2246 Fuel Damper 'FLAN NUMBER APPLICATION/PERMIT Q1 PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT . E' htt - "-a` "
(1) 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 BLOCK SUBDIVISION PARCEL P.IUMBER/S
2. * 14. 00 G
OV.VIER / /� PHONE
3. hi
j1i-R� p!/LX►/ in 1 s t e r ee_k ciao-50 z-
* 1 4 0 Q
ADDRESS /, Q u ZIP_ Actual Set Backs in Feet 1-4, * C i ,)
/!/ !6 a — /O (�[Jci
North (SouthEast (West
C NTRACTOR PHONE Size of Parcel Zone Classification
a. be4n mat•er enA-r7 .3a7 62Sc . 1 1 -30-81
AD ESS /y `� Zl9-9, 0p '3AXI Type Const. Occupancy Sprinklered 7
t f' CJ-✓ , , G U
Oyes ❑No ❑ Req'd. 6 47c-
DESIGNER
1 r
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.
TYPE �,�� No.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW IFS ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7, OF 0 OTHER
WORK 0 BLD. 0 PLMB. ❑ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK ,t �^_ � ,,/� h�� Enum.Dist. Location (Area) 1
8. / i1 /� 5 - C� ��i rG�,f1LLG� 1/ I FEES COLLECTED
VALUATION SOURCE GAS1.------
/ ELECTRIC WATER EWER Ownership USE CODE
O
9. 1 U OF
UTI �/ 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
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 c-22,0-1)--.02"-e)(//)A
/ SIGNATURE OF APPLICANT. lel/ Mech. /it 0Q..
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
n.
Planning ,.7
U
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities �
TOTAL $ /S °+.—
Plans Examiner
SEPA Checklist WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
• A.
l'1 - 30 =81' 2 2 46 2
Building Technician PERMIT IS NONTRANSFERABLE o * 1400 17.o Pi -
'
6 0 ✓ 4 3414:9.- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL