1984, 04-12 Permit: 84A-3270 Mechanical FixturesPLAN NUMBER APPLIICAT�/
IONPERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS 1PARCELNO.
ONTRACTOR° / LI
4/4 A) ek E6121'S �+T�AI c
ES
North I South
ZiPQ/ (P U Type Const. Occupancy
PHONE New Const. Valuation R
East I West
Zone ClassificationI Residential ❑
Commercial ❑
Sprinklered
❑Yes ❑No ❑Req'd.
zd Valuation I Total Bldq. Floor Area
5.
e, V ..
Nv •
LOT
BLOCK
SUBDIVISION
2.
in Floor Upper
Floors
Garage/Storage
Greenhouse
OWNER
OW
3fAi
k -
CHANGE OF USE FROM
,Ni96L1c.
ILING ADDRESS
Uncv. Deck
ONTRACTOR° / LI
4/4 A) ek E6121'S �+T�AI c
ES
North I South
ZiPQ/ (P U Type Const. Occupancy
PHONE New Const. Valuation R
East I West
Zone ClassificationI Residential ❑
Commercial ❑
Sprinklered
❑Yes ❑No ❑Req'd.
zd Valuation I Total Bldq. Floor Area
5.
ADDRESS
ZIP
in Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
er Deck
Uncv. Deck
Fin. Basement
Unfin. Baser
s.
7-0-
I
. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.7.
OF ❑OTHERWORK
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
Exempt.
Required
Yes❑ No
Number
varian
Received
Yes El No[-]
SCRIBE RK
Shorelines/ Flood Hazard
Plans Required ❑
8.SLI
4r b
Yes❑ Not Applic. El
Received ❑
VALUATION SOURCE
ELECTRIC
WATER
PUBLIC ❑
I SEWAGE
SEPTIC ❑
Ownership
FEES COLLECTED
9 UTILITIES
I
11OF
PRIVATE
SEWER ❑
public ❑Private ❑
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 type of
Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority 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
SIGNATURE OFAPPLICATION _ �Q $�
Mecn. �� �U
OWNER OR AGENT DATE
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Dv cT-44w o f k[
Env. Health
SEPA
Planning
Modular/
MFG. Home
Fire /
Prevent. ` e l
Engineer Other (Specify)
� /$.50
Utilities
TOTAL
SEPA 1
PWHEN MACHINE VALIDAT
PERMIT IS NONTRANSFERABLE
Plans THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS I Q
Tech. DATE}SSUED1 2 _ 4
PERMIT NUM�E
el 70 k
PERMITti� 7' 0 z * f4AL