1980, 11-20 Permit: 80B-4028 Mechanical Fixture PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT M A 13l 40 2 5
(D/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
• APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1. JOB AODM/0 706 ^ (, LEGAL DESCRIPTION - SEE ATTACHED J * j 0
6` * 7. 00
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
C k
2. n' l.0
OWNE:ii PHONE A ' L Ii i. C
3. LW, �•' i, , x . 9,?e-0774.3 _
ADD ESSL ZIP99 Actual Set Backs in Feet 40 27 c
/370 �X/) / /�/ North (South East (West
CO TRACTOR PH N Size of Parcel Zone Classification 1 1 -2 0— 8 0
4.%.....34)=4_,)
P1
-/D/� c 6Q 79.
DDRESSo�,� ZIP y Type Const. Occupancy Sprinklered
p,N/jzjL �yr_� A�A2Q/ 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 0 ALT. ❑ Ap2N. 0 RPL. 0 MVE.
7. OF 0 OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. I=1 PLMB. MECH. 0 M.H. ❑ POOL
of EXEMPTION
DE IBE WORK —4,,,,-
� ?/ Enum. Dist. I Location (Area) '
8.
R
FEES COLLECTED
I
VALUATION SOURCE GAS EL CTRIC WATER SEWER Ownership USE CODE
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 // 4,e) SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS 4,P/1C f 7'-
NAME DATE Plan Check
Env. Health
SEPA >-
a-
Planning O
U
Mobile Home W
Fire Marshall —!
W
Co. Engineer Other (Specify)
eno
Utilities
TOTAL $7
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
.
Building Technician PERMIT IS NONTRANSFERABLE 1 1!-x.2 fif,?!$ti 4 0 2 8 is *7.0 0 a° IJ-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL