1979, 08-29 Permit M79-3034 DuctworkPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — P
JOB ADDRESS
1. E. Iola(, rerre1 r1VP}
LOT BLOCK SUBDIVISION
2.
RESS HARD TO MAKE 4 COPIES
OWNER (�
3. Ro4-h CO 1'1S uC I o'rr CO —
ADDRESS S.5 /1 tg.erI// Cri--
CONTRACTOR
4. Qua t
ADDRESS J
E `7l T I L )
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
6.
TO
TYPE
7. OF
WORK
NEW
❑ BLD.
DESCRIBE WORK
PHONE
c/ -5��'
ZIP
F9ao4,
PHONE
9C2 g v7/oa
PHONE
ZIP
❑ ALT. ❑ AD N. ❑ RPL. ❑ MVE.
❑ PLMB. 'MECH: ❑ M.H. ❑ POOL
❑ OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER'S
Required Set Backs in Feet
North 'South East 'West
Size of Parcel Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation 1Building Area in Sq. Ft.
OWL Area I Basement Area F Garage Area
Split Entry
Split Level
No. Baths
Storage
Rancher
No. Floors No. Rooms
11
TE Req'a.
CERTIFICA
of EXEMPTION
VALUATION Source
of
9
Utilities
EfUY
GAS
ELECTRIC
/€c/P,
WATER
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 locay law regulating con ruction or the
performance of construction.
DATE Cy — 77
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
SIGNATURE \__
SPECIAL EONDITIONS:
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATE
OFFIC
Rec. Room
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
.G� C..)Mech. NP 6.0c
Dcrcf 9. 00
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL $ L3Arj
DATE
PERMIT NUMBER
04* *1300
* 1300 ul
* 13006
A *0.00
30332
08-29-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PE MIT.
0 8 - 2 9 - 7 9 303,45 *15000J
APPRIcclIMJrc