1981, 04-01 Permit: G81A-2992 Duct WorkPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.1/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS-� LEGAL DESCRIPTION — SEE ATTACHED
1. 1 -,�d 0 �1 �- 2i1�
LOT I BLOCK ISUBDIVISION I PARCEL NUMBER/S
OWNER
PHONE
�
3.
ADDRESS
n
ZIP
Actual Set Backs in Feet
ff� A
f V h V V\
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
s
-� ._ Z-
4. ADDRESS
ZIP
Type Const.
Sprinklered
19 1(..)
TOccupancy
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No, of Dwellings
TYPE j
❑ NEW ❑ ALT. ,Bp AD'N. El RPL. F-1 MVE.
OF ` \ [Ell
❑ BLD. ElPLMB. MECH. ElM.H. 1:1 POO L
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WOR' L.
�
Enum. Dist. Location (Area)
FEES COLLECTED
8 LU L.W
VALUATION1
SOURCEGAS
ELECTRIC
)WATER
SEWER
Ownership
USE CODE
OF
UTILITIES
Public ❑ Private El9.
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
�9
(C - �/ I SATHF nF APPI ICANT `\ I SYVC Y WG
r1ATF (1F APPI ATION � — � �JIC;NR
Mech. V
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE -60
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
nifia — PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
PERMIT NUMBER
r4* *16.00
*1600�
*16,0061
A *0.00
%99.12
04-01-81
6,479.
Other (Specify)
U �a
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 41--;o 1 — 81 2 9'9. 2 z