1981, 09-11 Permit: 81A-9189 Mechanical FixturesPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
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
f ,
LEGACDESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
O
TA c s.
d "i
PHONE.
3. �
ADDRESS
1,3 67/0 `
.�
�y 5 f//�'�c ✓�r �✓t�
ZIP
/I fit �
Actual Set Backs in Feet
North South East West
CONTRACTOR
XPHONE
/
Size of Parcel
Zone Classification
4' APDRESS ! /IF
c
ZIP /
-r- p A/fP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
41
%G .v GG J !/ -L:�'✓f' f
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 I Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 1.r51a // A- " ,- ,,N „1 �1 //�'X j4,,- 11 I FEES COLLECTED
VALUATION S URCE GAS ELECTRIC WATER ( SEWER Ownership USE CODE
9.
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 INSPECTIONS'– Plumbing
1/. r -- . --. , r. .. q —4 —R-/ Mech
SPECIAL APPROVALS
NAME DATE
lealth
ammng
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS: /�
//� /
PERMIT IS NONTRANSFERABLE
x� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan eck
SEPA
04* *19.00
*19.00
* 1 9,006
A *0,00
9188
09-11-81 _
6479.
Mobile Home
Other (Specify)
TOTAL $ , G'C
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 9:,-�,-�81` 9' 18.9 z
DATE ISSUED PERMIT NO.
*1,9000
TOTAL