1981, 12-30 Permit: 82A-0046 Mechanical FixturesPLAN 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
LE ,AL DiSCRIPTION — SEE ATTACHED
I (1T �I n U CI IOI�I„ICIr', nl _
OWNER
3. HW A e a�
ADDRESS
CONTRACTOR
4.
ADDRESS
PHONE
ZIP
PHONE
Actual Set Backs in Feet
North South East
Size of Parcel Zone
PERMIT NUMBER
/q/► 0:2,A - oc 4rp
4* *19.00
* 1 9.00
A *C't
lil_:
n n
—c2,G
6.479,
41—
ZIP
Type Const.
I Occupancy
Sprinklered
ar—Cy
f
[--]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.
TYPE❑ NEW ALT. AD'N. RPL. El MVE,
❑❑ ❑
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
DESCRIBE WORK
s. /,�,$ Jk, �� F/4,r i F,,.t ,(inti//1�' 7 G� r�+ ���"�
Enum. Dist. Location (Area)
FEES COLLECTED
VALUATION
SOURCES
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
Public El Private El
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
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 ��/` — 3U —`DSIGNATURE OF APPLICANT
Mech. '� ?
SPECIAL APPROVALS
SPECIAL CONDITIONS:
+] f7 % G'L'
NAME DATE
Env. Health
//'
,.S i'7 Pt -t </ !/�;G c r
Plan.Check
/
Planning
/r /) _�<� e�—,
SEPA
/ /
�
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $ C C"
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
iy
PERMIT IS NONTRANSFERABLE 0,.11 0 5 �'&2 4 6 Z * 19, 0 0
-. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL