1980, 05-05 Permit: 80-4295 Mechanical FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - ESE HARD TO MAKE 4 COPIES
JOB ADDRESS
ESS_ LEGAL DESCRIPTION - SEE ATTACHED
la
LOT I BLOCK IbUBDIVI51ON PARCEL NUMBER/S
9,
Q -W N E R
PHONE
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
kaztAlt
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
Building
q,qf 12
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
3.
performance of construction.
Plumbing
v
DATE SIGNATURE—Mech.
ADDRESS
SPECIAL APPROVALS SPECIAL CONDITIONS:
ZIP
Required Set Backs in Feet
FOR GAS:
Env. Health
Q� /� /
b
" Planning PIPE SIZES:
Mobile Home
Fire Marshall
PIPE LENGTHS:
(..�
North South
East West
CONTRACTOR
C
PH NE
%%
Size of Parcel
Zone Classification
AAI r-0- 0Gt
i -,t
THIS A PERMIT.
(BECOMES
— — b n�
DATE,SLCOFFICIAL
4'
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
P
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE El NEW
,—,/i
❑ ALT. It[] AD'N.
❑ RPL. El MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
El OTHER
El BLD.
❑ PLMB. ElMECH:
❑ M.H. El
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
8.
ESCRIBE WORK
/)
t til/d
FEES COLLECTED
VALUATION
5 urce
GAS
ELECTRIC
WATER
SEWER
of
9,
Utilities
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.
Plumbing
v
DATE SIGNATURE—Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
FOR GAS:
Env. Health
SEPA
" Planning PIPE SIZES:
Mobile Home
Fire Marshall
PIPE LENGTHS:
Co. Engineer
Other (Specify)
BTU'S:
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATE
SEPA Checklist
THIS A PERMIT.
(BECOMES
— — b n�
DATE,SLCOFFICIAL
U
F— -APPROVED FOR ISSUANCE
IPERMIT NUMBER
M—c60-40AS
DATE
04* * 1 3.00
*13.00
*13.00
E *0.00
429.4
05-05-80
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SPACE,