1981, 12-14 Permit: 81B-2706 Fuel DamperPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 7-6 LEGAL DESCRIPTION — SEE ATTACHED
1. -' /G 7' 3e --
LOT I BLO K ISUBDIVISION PARCEL NUMBER/S
z.
OWNER PHONE
3. Al" Ve /1111Z 111a 614"
PERMITNUMBER
/9F, I f3
4 *14.00
is 1 4.,00
* 1 1L. 0 0
A *0.0^
2 F%
ADDRESS ZIP Actual Set Backs in Feet U. Jr
,F . A-) 7c'5- 3cl 9"/ 'R a I�, North iSouth East West 1 2-14-81
CONTRACTOR L / PHONE Size of Parcel Zone Classification
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
O Q a H
/
�. /.4 %iii �v �' F„�
/
,Z� 6
PERMIT NO.
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No.
Stories
No. Rooms
No. of Dwellings
TYPE ❑NEW ALT. 1-1AD'N. El RPL. 1-1 MVE.
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK[''
8 �iYS l/ /4'
Enum. Dist. Location (Area)
FEES COLLECTED
ac / �,,� �,, /-L/ A -u rle
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
I UTILITIES
Public ❑ 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
DATE OF APPLICATION �++7 ' �G SIGNATURE OF APPLICANT s�---��
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
! ` ®d111 e'er
%��
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
/V OQ
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
.r
11
y g Techni
PERMIT IS NONTRANSFERABLE
12 _C1 Q 8 1
2 7 Q 6 25
*'1 4
O Q a H
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO.
TOTAL
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