Loading...
1979, 08-16 Permit: 79-9188 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 11 1? -3 X30 o1,s W LOT BLOCK SUBDIVISION LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S OWNER 3. A c A- IIL i& ADD ESS P o W Ia 4 #( CONTRACTOR �p 4. e <* %'I 1 Xi" I ti G. -E-00.61-Am fIJC° ADDRESS DESIGNER A-) kbiou PHONE °la -4- 14 ZIP PHONE /-410128 ZIP 9, y a c' ADDRESS CHANGE OF USE FROM ik 6. • C— TYPE 7, OF WORK PHONE ZIP TO ❑ NEW LALT. ❑ AD N. D RPL. ❑ MVE. ❑ BLD. ❑ PLMB. E MECH: El M.H. ❑ POOL Required Set Backs in Feet ilNorth 'South East (West Size of Parcel Type Const. aluation Occupancy Zone Classification Sprinklered El Yes ❑No ❑ Req'd. Building Area in Sq. Ft. DWL Area I Basement Area Garage Area Storage Split Entry Split Level No. Baths CERTIFICATE of EXEMPTION Rancher Rec. Room Not Req'd. DESCRIBE WORK 8. C° b la 0 VALUATION 9. Utilities PS( urce GAS / ELECTRIC of �// tilities 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 regu a 'ng construction or the performance of construction. DATE erg -71 SIGNATURE DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: / /YL B e_l _ DATE IZ"I'/"! / OFFICIALU7fQrGe APPROVED FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Z� Plan Check SEPA Mobile Home Other (Specify) TOTAL $ /Z- v -d DATE G PERMIT NUMBER 79-7138 6-179 04* *1200 *1200 175 *12000 E *000 9187 12-17=79 6.479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 12- a 7=79 918.82 *12.0.0° 1r.