1981, 08-21 Permit: 81A-8414 Fuel DamperPLAN NUMBER
JOB ADD_RF—SS
1. r
LOT I BLOCK
2.
OWNER
3.
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
96 f/ „ -7� 1 ktl` LEGAL DESCRIPTION - SEE ATTACHED
ADDRESS r1^�� JJ j
r
2 " I �
ZIP
el,
Actual Set Backs in Feet
O'er (I (
North South East
West
CONT ACTORPI
jONE
Size of Parcel
Zone Classification
4.
ADDR SSZ
Type Con7
Occupancy
Sprinklered
❑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
s.
Baths
No.
Stories
No. Rooms
No. of Dwellings
TYPENo.
❑ NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
8 �f,�. G. �.
VALUATION
SOURCE
GAS.
ELECTRIC
WATER
SEWER
Ownership
Ownership
USE CODE
9.-
I UTILOITIES
/yam
Public El ElSingle
$
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. S REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
14
Mech. f •„
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
/� _ /'1 t1
Plan Check
nv. Health r( kxu,Q
anning
ire Marshall
o. Engineer
tilities
tans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTA L $
PERMIT NUMBER
6 GA
u4* x 1 4.00
* 1 4,00
* 1 4. 0 0 u
A *000
841,3
08-21 -81
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
8 414 z
DATE ISSUED PERMIT NO.
*1400 a�j -
TOTAL