1979, 08-09 Permit: 79-1876 FurnacePLAN 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 4 COPIES
JOB ADDRESS
BALFOUR, S. 2519
LOT
BLOCK
SUBDIVISION
OWNER
3 ROYMAN THOMAS
ADDRESS
SAMF
CONTRACTOR
NORCO HEATING
4. ADDRESS
E. 5051 Trent
5.
ADDRESS
DESIGNER
CHANGE OF USE FROM
6.
TYPE
7. OF
WO RK
PHONE
924 -0409
ZIP
PHONE
534 -4975
ZI P
99206
PHONE
ZIP
TO
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. GiaISECH: ❑ M.H. ❑ POOL
❑ OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER /S
Required Set Backs in Feet
North South East (West
Size of Parcel
Type Const.
Valuation
DWL Area
Split Entry
No. Baths
CERTIFICATE
of EXEMPTION
Zone Classification
Sprinklered
Oyes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Split Level
No. Rooms
Storage
Ranche
Rec. Room
Req'd. Rec'd.
DESCRIBE WORK
GAS FURNACE REPLACEMENT 100,000 1 " 10'
VALUATION
9.
Source
of
Utilities
GAS
XXXXXX
ELECTRIC
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 local law regulating construction or the
performance of construction.
DATE
SIGNATURE
SPECIAL APPROVALS
DEPT. REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
7 Q
/OF
APP' i ED FOR ISSUANCE
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech. GAS 144
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 12.00
G
PERMIT NUMBER
7'2`- 1S -767
DATE August 9, 1979
* 12.00
* 1200
* 12006
*000 8
187,52
08 -09 -79
2 6479,
w
_ w
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS B A
0� —COM 0 l'EtyM IT.
187.6 *12002
DATE REMARKS
RECORD OF INSPECTIONS
Final Inspection
INSPECTED BY
OR—ca —. c)
1c%
V #Q()('. 2
*1500R
*1)00 P
°'tt* *1500