1981, 11-12 Permit: 81B-1728 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 LEGAL DESCRIPTION — SEE ATTACHED
i. �7 lee-,7�37 r
7 1
LOT BLOCK UB I PARCEL NUMBER/S
OWNER , PHONE
ADDRESS -,-�z'��� ZIP Actual Set Backs in Feet
,6, FGA4 46 LL% lel Z?�' North South East
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
Dyes [-]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 KNEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
ED]7, OF OTHER
El BLD. 1-1PLMB. MECH. ❑ M. H. 11 POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8 r -7 4.L
VALUATION
SOURCE
GAS
ELECTRIC WATER
SEWER'
Ownership
USE CODE
9.
I UTIL TIES
Jl /�
Public El 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
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. 4�
SPECIAL APPROVALS
SPECIAL CONDITIONS:
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer I Other (Specify)
ns Examiner
PA Checklist
ildi Technician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
PERMIT NUMBER
,A,/ - t�
04* *19;00
* 1 9.00 U
* 1 9,00
A *0.00
1727
1 1 -12-81
6.479.
TOTAL $
WHEN MACHINE VALIDATED IN THI
THIS BECOMES A PERMIT.
i
r
a
1'1'Z-8 '1 1728 Z *19.0 0 -
DATE ISSUED PERMIT NO. TOTAL