HomeMy WebLinkAbout1979, 09-25 Permit: 79-4677 Conversion BurnerPLAN 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
3116 S. Bowdish
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
4.
OWNER
Don McLeod
PHONE
9-3433
PARCEL NUMBER/5
ADDRESS
Same
CONTRACTOR G & M Heating
ZIP
Required Set Backs In Feet
North 'South [East IWest
PH514-4078
Size of Parcel 1 Zone Classification
ADDRESS
N. 3003 Crestline
ZIP 99207
Type Const.
Occupancy
Sprinklered
CVes CNo 0 Req'd.
DESIGNER
6. ADDRESS
PHONE
Valuation (Building Area in Sq. Ft.
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Gas
Split Entry
Split Level
Rancher
❑ NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
yy 0 OTHER
❑ BLD. O PLMB.'IN ECH: 0 M.H. 0 POOL
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not-Req'd.
DESCRIBE WORK
8. Install Adame Conversion burner
VALUATION
9.
Source
tof
Utilities
'GAxxS
xcxx
/DO dod rc)
WATER
ELECTRIC
•
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 specifiedherein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of•any other state • local law regulating construction or the
performance of construction.
DATE 9/24/79 SIGNATURE
"1
DEPT.
SPECIAL APPROVALS
REQ'D.
REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITI+NS:
DATE
1" pipe 18'
OFFIC
APPROIbED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ /mac--'�
..
PERMIT NUMBER
79--
+677
DATE 9/24/79
04* *1200
*1200 En
*12006
E *000
467.6E
09-25-79
a 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BCOMES A PERMIT.
0 95.7:2'5,-..719,
4.67;75 *120'O :