1980, 10-06 Permit M80B-1470 Duct WorkPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBER
7013 --/' 7d'
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
. / rs / y S Se x?^' ' �4
LOT BLOCK SUBDIVISION
/mot
OWNER
3. tv. e. -S. /,6, 7/ 5.., , 7`h)
ADDRESSh/
,3. 5. /'we s , ..5,0d �i ., r 4,f ze
CONTRACTOR j/ If IG�,f /fy Nett I�[
, ¢ IeE41- /n.f
4' /tADDRESS
e /ot 7/6) wa. a ry
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
912 -33V- 7
ZI P
PHONE
A/(..10
ZI P
PHONE
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North !South East 'West
Size of Parcel Zone Classification
Type Const.
Occupancy Sprinklered
DYes DNo D Req'd.
Valuation Building Area in Sq. Ft.
Main Floor
Upper Floors
Garage Area
Storage
Area of Decks
Finished Basement Unfin. Basement
TYPE
7, OF
WORK
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL.
❑ OTHER
No. Baths
No. Stories
No. Rooms INo. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd. Not Req'd.
DESCRIBE WORK
8. &lc ILiv /6 Fe,..
VALUATION
9.
SOURCE
OF
UTI LITIES
f/rc ,r i e /!(.s/vr• f r' p/ L/rtr t ..4 :
GAS
ELECTRIC
WATER
SEWER
Enum. Dist. I Location (Area)
Ownership
Public 0 Private 0
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 /d " ,i " SIGNATURE OF APPLICANT / :=
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning '
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
cv
FEES COLLECTED
Single $
Building
Plumbing
Mech.
/-1 fL
Plan Check
3, c'0
'!c'O
G • Ave"
SEPA
Mobile Home
Other (Specify)
TOTAL $ /3 -1cr
O1!* *13.00
*13.00 r5
*130n
A *0.00
146,9z
10-06-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Bui ding Te niciaiW
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
,1,0a06114810! 147,0'z *13,00a
DATE ISSUED PERMIT NO. TOTAL