HomeMy WebLinkAbout1982, 12-21 Permit App: 82B-2101NUMBER APPLICATION/ PERMIT PERMIT NUMBER i of
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD -TO MAKE 4 COPIES
JOB ADDRESS L 1024 29th LEGAL DESCRIPTION — SEE ATTACHED
�.
LOT BLOCK Si iRnivl-,innl I PARCEL NUMBER/S
2.
OWNER
Lloyd Ho
J ADDRESS
L. 10824 28th
CONTRACTOR
Oharlie Milson Mechanical
4. ADDRESS
L 1718 6prague Ave
DESIGNER
5. ADDRESS
CHANGE OF USE FROM L
6.
TYPE ❑ NEW
7, OF
WORK ❑ BLD.
DESCRIBE WORK
8.
%-10 A h
ZIP
99203
PHONE
534 4147
ZIP
99202
PHONE
IA1S
❑ ALT. ❑ AD'N. RPL. ❑ MVE.
❑ OTHER
❑ PLMB. ❑ MECH: ❑ M. H. ❑ POOL
Rheem 40 ga=
Required Set Backs in Feet
North South East West
Size of Parcel
Zone Classification
Type Const. I
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE Req'd.
of EXEMPTION
I Recd.
Not Req'd.
FEES COLLECTED
VALUATI N Source GAS ELECTRIC WATER SEWER
of
9. Utilities X I I 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 Plumbing
performance of construction.
DATE � � ___ SIGNATOR � - Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
01 Ic
DATE°y/ 0FFI Ll
SEPA
Mobile Home
Other (Specify)
TOTAL $ 16.00
WHEN MACHINE VALIDA'
THIS BECOMESp4' E MIT
1.2-2,1.-�
04* *1600
* 1 6.0016
A *000 17,
21 00
12-21-82
z 6,479.
IN THIS SPACE,
2 10.1 5 *16.0.0°�
DATE
REMARKS
Final Inspection
INSPECTED BY