1979, 12-20 Permit: 79-9342 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 4 COPIES
JOB ADDRESS
1.
LOT
2.
LO
Uo6D1VISION 46th AVPYLILP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
OWNER
3. Gate Smith
ADDRESS
F. 10715 - 46th. Avenue
PHONE
ZIP
99206
Required Set Backs in Feet
North (South (East (West
CONTRACTOR
4. POWVI_6, 7!'lCcolpofra.Pd
ADDRESS
F _ 6507 Ma.t.2on Avenue
DESIGNER
5' ADDRESS
PHONE
535-7714
Size of Parcel
Zone Classification
ZIP
99206
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area
Garage Area I Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7, OF
WORK
❑ NEW 0 ALT. AD'N. 0 RPL. 0 MVE.
❑ BLD. ❑ PLMB. MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8• Add on heat pump
VALUATION
9.
6 cddt to aneben. etec.ni.c
Source
of
Utilities
GAS
ELECTRIC
Funnace
WATER
Sy/stem
SEWER
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
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DAT
OFFICIAL
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
6.00
PeAmit 3.00
Other (Specify)
TOTAL S
r1
PERMIT NUMBER
DATE Dec. 19. 1979
04* *9.00
*9,00 Ij
*9,006
B *Q00
93&1
12-20-79
6.479.
APPROVED FOR ISSUANCE
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12-20.-7',
9'34.22 *9,00°17-1
0
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0