HomeMy WebLinkAbout1983, 04-26 Permit: 83A-3308 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
JIOB ADDRESS—
/,i
LOT
OWN
BLOCK
241,
SUBDIVISION
AD ■.R SS
l 21 o 3 - ---�
CONTRACTOR1
ILLL
4' ADDR SS
/ ;.her /J 1i
HON
LEGAL DESCRIPTION — SEE ATTACHED
n P
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South
East 'West
DESIGNER
5. ADDRESS
6.
CHANGE OF USE FROM
TYPE
7, OF
WORK
7<NEW ❑ ALT.
❑ BLD. 0 PLMB.
DESCRIBE WORK
VALUATION
9.
PHONE
ZIP
TO
❑ AD'N. ❑ RPL. 0 MVE.
...MECH. 0 M.H. ❑ POOL
❑ OTHER
Size of Parcel
Type Const.
Occupancy
Zone Classification
Valuation
Sprinklered
❑Yes ❑No D Req'd.
Building Area in Sq. Ft.
DWL Area I Basement Area Garage Area
Storage
Split Entry
No. Baths
Split Level
Rancher
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Lamm.( (—(V U'\ sC C IMC QQA i 4-(1C4G
ELECTRIC WATER SEW R
Source
of
Utilities
.—GAS
Req'd.
Recd.
Not Req'd.
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.
DATE " 2 3
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
SIGNATURE
FEES COLLECTED
Single
Building
Plumbing
Air Mech.
SPECIAL APPROVALS
DEPT. REQ'D.
R EC' D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
Y, aft' PiritJ(4
FFI
APPRbVED F0ISSUANCE
$
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 1(44:7**
PERMIT NUMBER
85A - 33o0
DATE
04* *1600
'*16006
A *000
330,72
04,-26-83
2 6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS B GC3ME �A EF�MIT. ' '4
0'', �'�3 330.85 *16.0'0a�