1980, 12-05 Permit: 80B-4517 Damper PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
,� SPOKANE COUNTY — BUILDING CODES DEPARTMENT JNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS s 7- LEGAL�JESCRIPTION — SEE ATTACHED
1. 1...:-.- /i // & f —
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. (; r,_
OWN PHONE .. 7,O O 17-
i' e
CJ /soN X7`1
3 ADDRESS S i ZIP Actual Set Backs in Feet * 7. 0 0
i 7
/,O` `/ OZ J !/�rC.-z- t', C./ci 9 9,A o 10 North 'South East West ;, f �`; (J E2CONTRACTOR PHONE Size of Parcel Zone Classification �'
1 A' Qu,4./77 147e4 ti.,,,, c EA. 4... 9dfi'-01,aa
4. ADDRESS / ZIP �y / c Type Const. Occupancy Sprinklered
f./ 7/c /...� A.•�ac 5(ev.EL�n.P 44/a 99 //40 ❑Yes ❑No ❑ Req'd. 1 2 — 05— 0
DESIGNER (/ r PHONE Valuation Building Area in Sq. Ft.
6.479.
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 71,NEW ❑ ALT. 0 AD'N. ❑ RPL. 0 MVE.
7, OF 0 OTHER
WORK ❑ BLD. 0 PLMB. El,MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. ILocation (Area) FEES COLLECTED
�J tc
8. / e./JjG�
/ DM/0 r'it, ,M S el.- �i ex , 24; Cts A-ALe
VALUATION SOURCE / GAS ELECTRIC /WATER/ SEWER Ownership USE CODE
OF
9. UTILITIES Public D 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 / - 3 c-' SIGNATURE OF APPLICANT y- .-2""--"-- Mech. 3_.'0
SPECIAL APPROVALS SPECIAL CONDITIONS: / aastAfp c � !/e/
NAME DATE _c `,
' 9
Plan Ch ck
Env. Health SG ee P /`- c / 4' !!!/// A.
/ SEPA n_
Planning
<i
Mobile Home
Fire Marshall -
Co. Engineer Other(Specify)
Utilities
TOTAL $ 7. <1C'
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
119-Tech clan PERMIT IS NONTRANSFERABLE 1 2 �J;'8 4 5 1,7 z A7.008: -'
7c- 4-'
�` ��' C� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL