1980, 09-15 Permit G80B-0206 Mechanical FixturesIpLAN NUMBER
I•
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
1. E. jff)1 FERRET DR
LOT BLOCK SUBDIVISION
OWNER 3. RO 11'i C.C_* S I_
.
ADDRESS _
E. 10124 F— ERkE !
CONTRACTOR
4. ADDRESS
lala-1 I� EAT r E*
£ E I LE.
DES INE R
5. ADDRESS
PHONE
Qi9t96)4,
PHONE
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South
ZIP
Size of Parcel
Type Const. Occupancy
Valuation
Main Floor Upper Floors
East
West
Zone Classification
Sprinklered
❑Yes DNo ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Storage
6.
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
NEW
❑ BLD.
❑ ALT.
0 PLMB.
❑ AD'N.
O MECH.
❑ RPL_
❑ M.H.
O MVE.
O POOL
0 OTHER
DESCRIBE WORK I RU_ /� b((i / (A `r�J FiAk )i' C5
8. • 7LAC_: i IrJ O IQ k 4 —6—U (AL. HOT W,IT ' TA rs) i<
VALUATION SOURCE GAS F ELECTRIC WATER/4E11T72} IRvi
9 UTILITIES X 7'�
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
Enum. Dist. I Location (Area)
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 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co, Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ _-*0�
PERMIT NUMBER
—D:'0(40'
04* *20,00
* 20,00
* 20.006
A *0,00
205
09-15-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
.20,6.2 *20.002.
—
PERMIT NO. TOTAL
lop'
FERRET UfIVf.
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