1982, 03-03 Permit: 82A-1435 Fuel DamperPLAN 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
1 4,00
JOB ADDRESS
LEGAL. DESCRIPTION — SEE ATTACHED
1 � 0 0 N
LOT
BLOCK
SUBDI ISION
PARCEL NUMBER/S
2
* 1 4, 0 0 6
PHONE
0NER
3. /��iur� c�
n *0,00 S
ADDRESS
ZIP
Actual Set Backs in Feet
13 2-4,d2
North South East West
03-03-82
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
' ; �� - %' f` N� ��t.
yds? -.;Z/
n 6.479,
4' A DRESS
ZIP
Type Const.
Occupancy
Sprinklered
/
F l �/GJ �rt/C! O'/t is
7 / C
❑Yes []No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
-
5' ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Ar;T
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 1-1 ALT. L1 AD -N. El RPL. El MVE.
I
7, OF ❑ OTHER
L1 BLD. ElPLMB. ❑ MECH. ElM.H. El POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum, Dist. Location (Area)
FEES COLLECTED
/ s+ � �'✓b�' � Li Liu' ( j..
8. i �v 4
v , ! u �/ �4' r �/ L G'c`3 /.
VALUATION SOURCE GAS ELECTRIC WATER Ownership USE CODE
FSEWER
9, 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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
`'
2... � 5 �"
DATE OF APPLICATION SIGNATURE OF APPLICANT -�'•%'Mec
SPECIAL APPROVALS SPECIAL CONDITIONS:
le ! Planck
NAME DATE /
I,,",
-
Env. Health
SEPA
^•
c>
Planning
Mobile Home
L!J
Fire Marshall
-
Co. Engineer Other (Specify)
ns
Bu.Udlny I ecnnician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTA L $ /7' C"o
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 0'Y 82, 143,525
DATE ISSUED PERMIT NO.
It 0 0 O(L -
TOTAL