HomeMy WebLinkAbout1980, 07-30 Permit: 80-7891 DampersAPPLICATION/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
�-
1.
+
LEGAL DESCRIPTION —SEE ATTACHED
LOT BLOCK
SUBDIVISION
4' ADDRESS_
PARCEL NUMBER/S
2.
Occupancy
Sprinklered
E:.EI Le
OWNER
PHONE
3..� I
DESI NER
PHONE
�'
Building Area in Sq. Ft.
ADDRESS
ZIP
`f v
Actual Set Backs in Feet
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
_ _
4' ADDRESS_
ZIP
Type Const.
Occupancy
Sprinklered
E:.EI Le
po
❑Yes ❑No ❑ Req'd.
DESI NER
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
Finished Basement
Unfin. Basemen
s.
I
TYPE ❑ NEW ❑ ALT. ❑ AD'N. 1:1RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwelli
], OF ED]OTHER
❑ BLD. ElPLMB. F-1 MECH. ElM.H. 11 POOL
CERTIFICATE
Req'd.
Recd.
Not Rec
WORK
of EXEMPTION
I
r.�€SS.LZI W�
Enum. Dist. Location (Area)
FEES COLLECTED
✓K�y�J� r/
$
VALUATION
SOU RC
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
I UTILOITIES
Public EI 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
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
o. Engineer
ns Examiner
nician) PERMIT IS NONTRANSFERABLE
�IL-'�` PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify)
TOTAL $ • DO
PERMIT NUMBER
04* *11.00
* 1 1.00 U)
* 1 1.0061
E *0.00 00
789,08
07-30-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07 3;0 80 789.1°
DATE ISSUED PERMIT NO.
l� F
0nu0F _
* 1. a (L
TOTAL