1980, 06-09 Permit: 80-5497 Mechanical FixturesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPE NEW ❑ALT. El AD'N. 1:1 RPL. MVE.
No. Baths No. Stories No. Rooms INC. of Dwellings
❑
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. AMECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8 /' k I Fy 'T , Enum. Dist. Location (Area) FEES COLLECTED
VALUATION SOURCE AS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public ❑ Private ❑
Single
I 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
NAME DATE
nv. Health
anning
ire Marshall
o. Engineer
tilities
ans Examiner
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify) r�
TOTAL $
PERMIT NUMBER
04* *7.00
*7.00 �
*7.006
E *000
549.62
06-09-80
9 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
X6'0`9' 80 549,72
DATE, ISSUED PERMIT NO.
*7.00a-Fj -
TOTAL
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
�J_
LEGAL DESCRIPTION — SEE ATTACHED
LO
BLOCK
I SUB15-19—ISTO—N
PARCEL NUMBER/S
2.
OWNER
PHONE
_
ADDRESS
E_ /?
�)
ZIPZIP
Actual Set Backs in Feet
`�/Lj
CONTRACTOR
' V
I
06
PHONE
North South
Size of Parcel
East West
Zone Classification
4'
c n,��-
ADDRESS
ZIP
Type Const.Occupancy
Sprinklered
^^
❑Yes []No ❑ Req'd.
DESI NER
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.
I
TYPE NEW ❑ALT. El AD'N. 1:1 RPL. MVE.
No. Baths No. Stories No. Rooms INC. of Dwellings
❑
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. AMECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8 /' k I Fy 'T , Enum. Dist. Location (Area) FEES COLLECTED
VALUATION SOURCE AS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public ❑ Private ❑
Single
I 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
NAME DATE
nv. Health
anning
ire Marshall
o. Engineer
tilities
ans Examiner
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify) r�
TOTAL $
PERMIT NUMBER
04* *7.00
*7.00 �
*7.006
E *000
549.62
06-09-80
9 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
X6'0`9' 80 549,72
DATE, ISSUED PERMIT NO.
*7.00a-Fj -
TOTAL