1981, 07-13 Permit: 81A-6928 Damper PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER i
C/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1 JOB ADDRESS yr/ LEGAL DESCRIPTION - SEE ATTACHED 0 4 * * 1 4,0 0
;c f;), 5-6
LOT BLOCK SUBDIVISION FARCE!„,_NUMBER/S * 1 4,0 0 u~.'
2. * 1 4,008
OWNER PHONE
3. Rwdi/, fl41e-a14,4'tor y,;..- Zit/ A * 0,00
ADDRESS ZIP Actual Set Backs in Feet
�� 7 ,�` 9%v2,d�l 6 9 2 7
�.,Z �~ 5` T V ���� L�,••-p G✓s� North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 7_ 1 3-g 1
4. 1l1 1 4,a tot 4 f fry f f k, I^-t 9,1i--oil 4-e,
ADDRESSCI {/ /� ZIIP� Type Const. Occupancy Sprinklered ' 6.4 7 9
c' /� 7/t' /-**-e StA-U S G/�L ,'E' 6^'CF 7 901 6 ❑Yes ❑No ❑ 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 ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK _ Enum.Dist. Location (Area)
/.,,,, }f // t FEES COLLECTED
8. /Gf /1 (std!S fir44.d e.Y' / /r;/to Ott..4-7,-,7 <'i Ownership USE CODE
VALUATION SOURCE GAS ELECTRIC W ER SEWER
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 .7 y `�� SIGNATURE OF APPLICANT Mech. iL", 441
SPECIAL APPROVALS SPECIAL CONDITIONS: >'' A,79''yL y GL-'
NAME DATE /, ,�G _ / I7` CJI. r
Plan Check
Env. Health �G~/° �/ /1//
SEPA ^-
Planning
,.
Mobile Home
Fire Marshall -,
Co. Engineer Other (Specify)
Utilities
TOTAL $ 1/�
% CV
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE '0 71-13',.;i ,..48'11 6 9 8 z * 1 �.0 d`
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL