1982, 09-17 Permit: 82A-8322 Fuel DamperPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
_ 5 LEGAL DE CRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER / PHONE
3. a'7'l d d ? c3 99
ADDRESS /� } / [^ ZIP Actual Set Backs in Feet
f� f / 7' i ,7 +� /.North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
y.
9A C ---ale o
Utilities
Plans Examiner
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
6 • i a 7/ v
F914/6
[-]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.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE 1:1 NEW El ALT. 1-1 AD -N. El RPL. 11 MVE,
7, OF ❑ OTHER
❑BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
/1 }.�(
Enum. Dist. Location (Area)
FEES COLLECTED
8
, __ _
-t'
VALUATION
SOURCE
GAS
ECTRIC
WATER
SEWER
Ownership
USE CODE
9.
I UTILOITIES
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 �� %6 �vZ SIGNATURE OF APPLICANT-"
Mech.
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
/ 1
//
� J�
Cf�p
d
JJ j
Ida
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
uildi h ici n
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $- '*�
PERMIT NUMBER
04* *1900
* 1 9.00'0
A *000
8321
09-17-82
6.4 '7 9,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09-17-82 832,25
DATE ISSUED PERMIT NO.
*19.000F -
TOTAL