1981, 12-08 Permit: 81B-2545 FurnacePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDINGCODES DEPARTMENT #10296
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509( 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3•COPIES
JOB ADDRESS
1. E. 11105 Boone
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNER
a J. A. Higgs
ADDRESS
E. 11105 Boone
PHONE
924-4689
ZIP
99206
Actual Set Backs in Feet
North 'South East (West
4.
CONTRACTOR
Sturm Heating Inc.
ADDRESS
E. 204 Indiana
PHONE
325 4505
Size of Parcel 1 Zone Classification
ZIP
99207
Type Const.
OccdpancY Sprinklered
❑Yes ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation 1 Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unf in. Basement
o NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
❑ MECH
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. install electric furnace
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
Enum. Dist.
Location (Area)
ELECTRIC
WATER
,SEWER
Ownership
Public 0 Private ❑
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 _12/3/81
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ng c nician
L'
•
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
4.50
10•:00
TOTAL $ 14.00
PERMIT NUMBER
�i
A541-
04* *1:400
* 10).0.0
* 14%p
A *0.00 2
25442
12-08-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
sl (:,
ntZ.08.'�.[8jli.
DATE•ISSUED, •.
2115 A.,
5 5
PERMIT NO.
*14U 0Da:F
TOTAL