1981, 10-07 Permit: 81B-380 Mechanical FixturesNUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — P
JOB QnDRESS
LOT i o-UCK T
BDI ISI N
2.
3. Dw ��,e�
S HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
CEL NUMBER/S
ADQR zip
Actual Set Backs in Feet
North South East West
CO Mi L)K PHONE
Size of Parcel
Zone Classification
4' A ESS
Z/,/)—/
p
G��1
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
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. Basement
6.
Baths
No.
Stories
No. Rooms
No. of Dwellings
TYPENo.
❑ NEW El ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF /// ❑OTHER
❑ BLD. ❑ PLMB. LIQ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
/
of EXEMPTION
I
DE6CRIBE WORK
�
Enum, Dist. Location (Area)
FEES COLLECTED
$yi � � � jr ��
VALUATION
SOURCE
AS
LEC RIC
WA T
SEWER
Ownership
USE CODE
9.
UTILOITIES
Public El 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
/�
C'
Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALSSPECIAL
CONDITIONS:
KinhAp naTp
I
Plan Check
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
:r
04* * 1 9.00
* 1 9.00 N
* 1 9.006
A *0.00
3792
1 0 -07-81
6479.
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
�j {� z
DATE fiS�UED'� 1 +1 PERMIT NO.
*19.00 a�-
TOTAL