1980, 08-20 Permit: M80-8879 Mechanical FixturesPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
3,V,-2 / 5-� .2.)1 LEGAL DFSCRIPTION - SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
OW ER
3. r5J<�L�/7G
ADDRESS
P ON
ZIP Actual Set Backs in Feet
t• ����` North South
CONTRACTOR
PHONE
Jxa- J1✓
Size of Parcel
Zone Classification
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
! r .` L,`� _
�� Jj*���/✓�✓/"� .Qi
)
�.G'�,J„�j
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
TYPENo.
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
Baths
No. Stories
No. Rooms
No. of Dwellings
], OF ❑ OTHER
❑ BLD. ❑ PLMB. MECH. ElM.H. 1-1POOLCERTIFICATE
Req'd.
Rec'd.77�7
WORK ,
of EXEMPTION
DESCRIBE WORK
. A
A4�v/.�/®lV�ff
Enum. Dist, Location (Area)
FEES COLLECTED
8 4,0A1,4142<-1�/"-31 jl
GATS
VALUATION
SOURCE
ELECTRIC
WATER
SEWER
Ownership
CODE
9.
UTILOITIES
Public ❑ Private ❑
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEEREVERSESIDE FOR REQUIRED INSPECTIONS
Plumbing
�?
DATE OF APPLICATION D SIGNATURE OF APPI ICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
ans Examiner
g Tec" ician/- PERMIT IS NONTRANSFERABLE
` � I PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
04* *7.00
*7.00
*7006
E *000
887.8-9
08-20-80
2 6479.
//
TOTAL $ Gy
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-20"8&0 887")
DATE ISSUED PERMIT NO.
*7.0000 -
TOTAL