1980, 01-07 Permit: G80A-9866 Mechanical FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. utilities
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 construc ' or the
performance o construction. q
Plumbing
A-6
DATE SIGNATU 1� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT, REQ'D. RECD. I Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
f av m ��--
- 7— 9.,e 9 �
DATE OFFICIAL,�Q1�JrG'C/'"
Annnnvrn rnn InnilAmnr
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
DATE
04* *1200
*1200 iz
*12006
E *000 00
986,5-4
01-07-80
;F 6479.
TOTAL $�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01-07-8`0 986,625
*,12, 0410
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL"DESCRIPTION —SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
OWNE /-
PHONE
3.
ADDRESS
ZIP
Required Set Backs in Feet
North South
East West
CO9
TRACTOR // //
�P'jON
`f
Size of Parcel
Zone Classification
4.
4/ �tP
ADDRESS
-
Z�
Type Const.
Occupancy
Sprinklered
3Q�3
( /
9� 1-7
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF US FROM
TO
Split Entry
Split Level
Rancher
6.
��
TYPE I�SNEW ❑ ALT.
❑ AWN. ❑ RPL.
❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
�,
OF
❑ BLD. ❑ PLMB.
Ltd'IVI __a(
ECH: 5�3M H.
❑ OTHER
El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
8
FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. utilities
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 construc ' or the
performance o construction. q
Plumbing
A-6
DATE SIGNATU 1� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT, REQ'D. RECD. I Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
f av m ��--
- 7— 9.,e 9 �
DATE OFFICIAL,�Q1�JrG'C/'"
Annnnvrn rnn InnilAmnr
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
DATE
04* *1200
*1200 iz
*12006
E *000 00
986,5-4
01-07-80
;F 6479.
TOTAL $�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01-07-8`0 986,625
*,12, 0410