1982, 04-09 Permit: 82A-2673 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
11::--- " -? --) / ---� -0 _ I LEGAL DESCRIPTION — SEE ATTACHED
LOT B
2.
OW,NfR
3.
ADDRESS
d
NT
4. o„r o
DESIGN f`S
i1N1��
5.
R
y,:;-9o9d
ZIP
Actual Set Backs in Feet
Main Floor I Upper
North South East West
PHONE
Size of Parcel
Zone Classification
-/gz-,/
ZIP
Type7�17
ccupancy
Sprinklered
CHANGE OF USE FROM
TO
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
PERMIT NUMBER
J12 -N-26`73
04* *1 4.00
*1400
A
* 1 [(.006
C * li. i v CJ
26 ,
04-09-8,.
6.4?9.
ADDRESS /V/I 1
ZIP
Main Floor I 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 El NEW El ALT. 1-1 AD'N. 1:1 RPL. 1-1 MVE.
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
ti*
WORK
of EXEMPTION
I
DESCRIBE OR .� /j
Enum. Dist.
Location (Area)
FEESCOLLECTED
_ L
8 fCiTiU ��-� ,'_. �.', r.-„`n'r
VALUATION
SOURCE
OF
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9. QV
UTILITIES
Public ❑Private ❑
Single $W02
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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 SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
a�
Planning
C7
Fire Marshall
Mobile Home
— L!J
•-+
ii
Co. Engineer
Other (Specify)
Utilities
9 JC7
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
4
ingT chnician
PERMIT IS NONTRANSFERABLE
0'4.4 9' � S 2. 2, 6 % 3 z,
* 14, 0 0
'irG� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED PERMIT NO.
a Pj
TOTAL