1980, 01-05 Permit: G80B-3271 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 A RESS
l�ESS T LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVIbIUN PARCEL NUMBER/S
0 W))F, R PHONE
3.
ADQJ3ESS. .r� ZIP Actual Set Backs in Feet
T �X� North South East
Cq NTRACTO
�
PHONE
Size of Parcel
Zone Classification
6j-
�1,s - X100
4.
AD ESS+
Z/�,�p�%
Type Const.
Occupancy
Sprinklered
12 7/6
�C�-a,`,t_>�.,,-� rte,
'/ / ��
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors I
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 ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. IA MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd
of EXEMPTION
ESCRI E Z,, -e -
K Enum. Dist. Location (Area)
8. � y L � t4
f�� � —� I ✓ FEES COLLECTED
VALUATION SOURCE GAS �1 ELECT C WATER SEWER Ownership USE CODE
OF Public ❑ Private ❑
9. UTILITIES
Single $
1 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 __-X y — / ® SIGNATURE OF APPLICANT i1� "_ 4_ a� Mech. TJ
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Plans Lxaminer
SEPA Checklist
ng Technician PERMIT IS NONTRANSFERABLE
—&A— —1— ^— vino --A -- roc 1cc11e 1—
Plan Check
SEPA
PERMIT NUMBER
X043`-3�?(
04* *7.00
*7,00 to -
7. 0 0 06
o-7,0006
A *0,00
327,02
01-15-80
6479.
C
c
t
Mobile Home
Other (Specify)
TOTAL $ <<V
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
I16#5-180 327.12