1980, 09-18 Permit: M80B-433 Mechanical FixturesPLAN NUMBER APPLICASTION/PERMITT.�—
/� E SPOKANE COUN" bUILDING CODES DEPARTMENT
1 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS_ LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3. i S
ADDRESS
ZIIP,,o
Actual Set Backs in Feet
v
/ [
North South East
West
CONTRAS', OR
PHONE
Size of Parcel
Zone Classification
I
S S�'
4.Lt
ADDRESS
Type Const.
Occupancy
Sprinklered
[rte'
❑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.
Baths
No.
Stories
No. Rooms
No.,of Dwelling<,
TYPENo.
❑ NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
7, OF EJ OTHER
El BLD. ❑ PLMB. MECH. M.H.El ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
11 '
Enum. Dist. Location (Area)
I
FEES COLLECTED
I
8 _v
VALUATION
SOURCE
GAS
ELE TRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
I UTILITIES
`
Public ❑Private ❑
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
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 INSPEC NS
Plumbing
l�
—1 -1- A- 11-- 9r l 6 NO C-1 A— 1— — A—I A � T /N CC � �ie ,v,. l-Ir110. �
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bojlding Tjhn��n� nc�,•IT PERMIT IS NONTRANSFERABLE
AQt7 .f/ cc ^- -- Con1111 nn TC nC ICCI IAKI/`C
Plan Check ?A d�
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
04* *9,00
*9,00
*9,001
A *0.00 00
43.2.2
09-18-80
-R 6,479,
TOTAL $ t-'(--'
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0,1$ '- OI 0 4 3.3-5
—IA ICCI ICI'l OCO��1T NI(1
*9100°
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