Loading...
1980, 10-07 Permit G80B-1527 Gas PipingPLAN 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 OWNER 3. BLOC SUBDIV1SIi ADDRESS PHONE ZIP LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S Actual Set Backs in Feet North South CONT CTOR 4. • (,'i YX) ADDRESS • DESIGNER 5' ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK O NEW O BLD. ❑ ALT. O PLMB. // / PHONE ZIP TO ❑ AD'N. ❑ MECH. ❑ RPL. 0 M.H. 0 MVE. D POOL 0 OTHER Size of Parcel Type Const. DESCRIBE WOR 8. VALUATION 9. SOURCE OF UTILITIES GAV C7RIC,/ -L L Dry WATER Main Floor Occupancy Upper Floors Area of Decks No. Baths Sprinklered ❑Yes ❑No 0 Req'd. Building Area in Sq. Ft. Garage Area Finished Basement No. Stories CERTIFICATE of EXEMPTION Enum. Dist. Storage Unfin. Basement No. Rooms Location (Area) SEWER Ownership Public ❑ Private ❑ Req'd. 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 AP- /- Yo SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SPECIAL CONDITIONS: Rec'd. Not Req'd. FEES COLLECTED Single $ Building Plumbing Mech. .!' L1u Plan Check SEPA Mobile Home Other (Specify) PERMIT NUMBER 1 C L '! 17-50 64 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. ildin ician PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL