1981, 09-21 Permit: 81A-9613 Mechanical FixturesN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
I NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD -101 MAKE 3 COPIES
JOB ADDRESS
1 i&(11 l` �- LEGAL DESCRIPTION - SEE ATTACHED
LOT O K ISUBDIVISION PARCEL NUMBER/S
2.
OWN E -) PHONE
3. A �- rl tiC��e�' l
ADDR
Z P '
Actual Set Backs in Feet
� 2 � — a,
� 16
North South
East West
CON RACTOR
C/ d . oC lz leAd
PHONE I
'2CDC'
Size of Parcel
Zone Classification
4' ADDRESS
Z111L)I
Type Const.
Occupancy
Sprinklered
ILIA`,
(
❑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 1:1 ALT. 1:1 AD'N. El RPL. El MVE.
7, OF ❑ OTHER
❑ BLD. ❑ PLMB.[ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK n 9
d
Enum. Dist. Location (Area)
FEES COLLECTED
8.
VALUATION
SOURCE
AS
LECTRIC
WATER
SEWER
Ownership
USE CODE
9.
I UTILOITIES
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
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
' /performance
%
7~/
Mech. }
(l
I DATE OF APPLICATION / ` SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS::,
Health
NAME DATE
Hing %�i /►,Uy _
Marshall
Co. Engineer
i
Plans Examiner
wilding T9chni ian I PERMIT IS NONTRANSFERABLE
Z PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
u
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
04* *1600
*16.00 C
*1 6006
A *0.00 00
961.22
09-21-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0''9;_2i'. 81 9613 z
DATE ISSUED_ PERMIT NO.
*1600(IL -
TOTAL