1980, 08-26 Permit: M80-9110 Furnace, Heat PumpPLAN NUMBER
1
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
1. 6e
LOT
2.
/vug I
BLOCK SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S
OWNER
3. N/ik a/azrv/e ii
ADDRESS
4.
5.
PHONE
902t—/7f3
Ei/Ye? 4e,ve, silo&tot ,r -r vzc Wade
CONTRACTOR ,( .�
AtAlaLvf-// r' h'e4/„-y ( f/Cci' /^t -
ADDRESS GADDRESS / / 4
6 /.2 7 /d I.v�r ctn.-
a/ S�UFic. e. C✓n
DESIGNER
ZIP
99aaG
Actual Set Backs In Feet
North 'South [East 'West
PHONE
9,2 ?-/Ua
Size of Parcel 1 Zone Classification
ZIP
99 .27 G
Type Const.
Occupancy
Sprinklered
Oyes ONo 0 Req'd.
PHONE
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks •
Finished Basement
Unfin. Basement
0 NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
• of EXEMPTION
Req'd.
Re 'd.
Not Req'd.
DESCRIBE WORK LL
B. /14.-s /a.// cm./ .-/ C -
VALUATION
9.
SOURCE
OF
UTILITIES
GAS•
ELECTRIC
WATER
SEWER
Enum. Dist.
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 t —) '. C0 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
•'NAME DATE
Env. Healt
anning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buil. ing Te gc Ian
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
be
Plan Check
SEPA
Mobile Home
3, oa,
e, au
Other (Specify)
TOTAL
$ /S. as
PERMIT NUMBER
80 -gi to
04* *1300
*1300 N
*13006
E *Q0'0
'9.1 Q19 2
08-26'-'80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
F0,8t ,2i16;': g'0'
DATE ISSUED
9'l L0 z. *1:3,:00 e
PERMIT NO. TOTAL
P-
0-
LA-