1980, 08-04 Permit: M80-8056 Mechanical FixtureN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
01/ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1.�^ . 7. ` ` LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBS
2.
I
Zone Classification
OWNER
Single $
Type Const.
{
3. "
ADDRESS
1�
E `Y 1 1 , I
CONTRACTOR
aluation
Building Area in Sq. Ft.
4.
ADDRES r
�
A
DESIGNER
r_
— ADDRESS
CHANGE OF USE FROM TO
6.
PHONE
ZIP
P.O O_N EE
p '�!
PHONE
ZIP
TYPE El NEW El ALT. �D'N. ❑ RPL. ❑ MVE.
7 WORK El BLD. ElPLMB. XMECH: ElM.H. 1-1POOLEl OTHER
DESCRIBE WORK j \ "
equired set Backs In Feet
orth South
East West
ize of Parcel
Zone Classification
Single $
Type Const.
Occupancy
Sprinklered
—
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
❑Yes ❑No ❑ Req'd.
I
aluation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
Plumbing
DATE SIGNATURE
Split Entry
Split Level
Rancher
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
No. Baths
No. Floors
No. Rooms
Rec. Room
Env. Health
CERTIFICATE
Req'd.
I Recd.
Not Rei
of EXEMPTION
U-1
FEES COLLECTED
PERMIT NUMBER
56
DATE IX — VO
04* *9.00
*9.00
*9.00
E *Q00 8
8055
04-08-80
2 6479.
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. 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 r the
performance of construction.
Plumbing
DATE SIGNATURE
__ ,/
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
o
Planning
U
U-1
Fire Marshall
Mobile Home
a
rn
Z
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist r
THIS BE OM{{ ES A PERMIT.
I'� J i, v�
9. O !-
DATE OF CIAL
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AP Qn\/G no IQQIIANr`G