1980, 05-10 Permit: 80-4616 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMIT 'P'ERMIT NUMBER
- SPOKANE COUNTY — BUILDING CODES DEPARTMENT W 1 ' ',CU—'c17I to
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
04 * * 1 4.00
JOB ADDRESS 1 . f
sem- LEGAL DESCRIPTION - SEE ATTACHED * , _� , r s
1. O J4BrOC K 1, * 1 4 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S n Y:
2.
OWNER PHONE L._
'r0 C 0 C_
3. r&RRV HERMr�ry 7 -.o74,- 4b1.5
ADDRESS ZIP «�L.�'(�_�/ Actual Set Backs in Feet
E. 10F,',71 t-;?1- C�9,[ North 'SouthEast (west ( - 1 0-v C
CONTRACTOR PHONE Size of Parcel Zone Classification
4. AA- I HE 11 ci II RIC:0 ?. ItJC.RESS i-gq-416- / 64? 9.
AD _ Type Const. Occupancy Sprinklered
E.1t..S 1wlGI uE 4:7-‘266?'
C2 6 Oyes ❑No 0 Req'd.
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.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW MALT. ❑ AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. �l MECH. 0 M.H. 0 POOL
of EXEMPTION
/DESCRIBE WORK 4 l otQ i-ti-t.1 /l t.'(MI P r1 Enum. Dist. I Location (Area) ' FEES COLLECTED
an-of
oar ---c,T� G =�L' ELj�{4/[WATER e�%rl W R Ownership I
VUSE 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 construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing .,
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE �,��Q Plan Check
::n::Ith
'� A-` SEPA
• ,
— w
Fire Marshall a Mobile HomeJ
Co. Engineer Other(Specify)
Utilities , t, N„O
TOTAL $ /�(,d,AC)
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
BGI . : h ician PERMIT IS NONTRANSFERABLE 0 5 -a 0 -*B 04 b �,,6 z * 1 4. d _ _
• a MMX7VA_ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL