HomeMy WebLinkAbout1979, 10-19 Permit: 79-6356 Furnace1
PLAN 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
1.
2.
3.
JOB ADDRESS .
d . /s d .s r_"1 .46�=
LOT BLOCK SUBDIVISION /
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
OWNER
71-1.4
ADDRESS
PHONE
ZI P
Required Set Backs in Feet
North 'South
4.
CONTRFjCTOR 3
PHONE
!f9 73 3
East
Size of Parcel I Zone Classification
ADDRESS
J' O• fes'" 7 3 7 .
E
DESIG R
ZIP
9q'0 7
PHONE
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation Building Area in Sq. Ft.
5' ADDRESS
ZI P
DWL Area I Basement Area
Garage Area I Storage
6.
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
lX NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
'MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIIWORK
8. GC —
VALUATION /!
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance of construction.
/0 f7/?j
DATE
examined this application and have read the "NOTICE" provisions included
to be true and correct. All provisions of laws and ordinances governing this
whether specified herein or not. The granting of a permit does not presume
the provisions of any other state or local law regulating construction or the
SIGNATURE21'
SPECIAL APPROVALS
DEPT. REQ'D.
REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
FFICI
APPRFOR
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
DATE
PERMIT NUMBER
79
/0//7/-7g
04* *7.00
*7.00
*7,006
E *000
6355e
10-19-79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10'-;,1.9:..7(9.
6'35,62
*70:0aI- _