1980, 02-14 Permit: M80-1168 Mechanical FixturesPLAN NUMBER APPLICATION/ PERMIT•
A PERMIT NUMBE.,
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE Febnuany
13, 1980
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
0 4 *
* 9 0 0
* 9.00 N
JOB ADDRESS
LEGAL DESCRIPTION -SEE ATTACHED
1. Eazt 14920 - 17th. Avenue
* 9 0 0 U
7
LOT
I BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
E
* 0, 0 0 v
OWNER
PHONE
3
11 6 7;R
ADDRESS
ZIP
Required Set Backs in Feet
Eazt 13810 - 24th.
99216
North South East West
02-1
4-80
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
ed
535-7714
-4
6479
4. ADDRESS
ZIP
Type Const.
Sprinklered
6507 Matton Avenue
99206
FOccupancy
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
—
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE 1-1 NEW El ALT. Q AD'N. El RPL. 1:1MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7, OF ❑OTHER
CERTIFICATE
Req'd. I
Recd.
Not Req'd.
WORK ❑ BLD. ❑ PLMB. MECH: ❑ M. H. ❑ POOL
of EXEMPTION
DESCRIBE WORK
8• Cahhtieh head pump added to exiztin z a be m
FEES COLLECTED
VALUATION
Source
GAS
ELE TRI
WATER
SEWER
9.
0f
Utilities
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 construction or the
performance of construction. Plumbing
DATE SIGNATURE_ Mech. 6-00
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
o
Planning
~
U
W
Mobile Home
Fire Marshall
z
Penmit 3.00
Co. Engineer Other (Specify)
Utilities
TOTAL $ —E.-O 0 0
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Q 9, i „
DAT v FFICIAL _. � .i �' - i1
j ! in �,
* Q it ,n 0 J