1980, 12-12 Permit M80B-4809 Htg DuctworkPLAN 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
LOT BLOCK SUB [VISION
2.
3.
OWNER
ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
PHONE
CONTRA.CC OR
72/
4. ADDRESS
4� . 7 3 3
DESIGN
ZIP
PHONE
4'I9r6)233
ZIP
7
PHONE
Actual Set Backs in Feet
North (South [East 'West
Size of Parcel Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
Valuation Building Area in Sq. Ft.
5' ADDRESS
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
TO
I,LVEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
❑ BLD. 0 PLMB. MECH. ❑ M.H. 0 POOL
0 OTHER
Area of Decks
No. Baths
Finished Basement
No. Stories
No. Rooms
Unfin. Basement
No. of Dwellings
8.
DESCRIBE WORK f J )
VALUAT'rON SOURCE GAS
OF
9. UTILITIES
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
Rec'd.
Not Req'd.
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION / >"/L< l F
SIGNATURE OF APPLICANT , %4
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buil. . hnici
SPECIAL CONDITIONS:
3 0 le: w
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Z0J/
Mech-
Plan Check
SEPA
Mobile Home
Other (Specify)
.7 ).)/
TOTAL $
itfl -.3i)•5=4-tk)c)-
04* *7,00
*7.00 N
*7.006
A *0.00
480.7-3
12--12-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
�` 11, �J-ig 0
DATE ISSUED • PERMIT NO.
4808z
*7,00C�
•
TOTAL
AppS'QVED AS NOTE
1 LT LH DI "CT
APPROVED Pt3"`'
p trait Cauniy bi#9fi.
A