Loading...
1983, 10-04 Permit: 83A-9891 Furnace, PipingPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES STREET ARESS 1. o sei LOT BLOCK 2. 3. MAILING ADDRESS .G✓G?/YYi�2� OWNER SUBDIVISION CON1R TOR 4. • .-0_71" ADDRESS LICENSE EXPIRES 6v- e/ -t!..5 DESIGNER 5. ADDRESS CHANGE OF USE FROM PHONE ZIP 99R,65 PHONE ZIP TO TYPE ❑ NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE. 7. OF El OTHER WORK ❑ BLD. ❑ PLMB. Q MECH. ❑ M.H. ❑ POOL DESCRIBE WORK 4 �F. .6^v-ao0 / VALUATION 9. SOURCE UTILITIES ELECTRIC P/R WATER PUBLIC ❑ PRIVATE ❑ SEWAGE SEPTIC ❑ SEWER ❑ PARCEL NO. LEGAL DESCRIPTION: Actual Set Backs in Feet to: North South 'East ' West Size of Parcel Type Const. New Const. Valuation Main Floor Cover Deck No. Baths Zone Classification Residential ❑ Commercial ❑ Spr'nklered ❑Yes ❑No Req 'd. Remodeled Valuation Total Bldg. Floor Area Garage/Storage Uncv. Deck No. Floors Certifi. of Exempt. or Variance Greenhouse Fin. Basement No. Fin. Rooms Required Yes ❑ No❑ Received Yes No Shorelines/Flood Hazard Yes NotAppiic. ❑ Ownership Public ❑ Private ❑ 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 au- thority 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 SIGNATURE OF OWNER OR AGENT APPLICATION to- 3-75 DATE SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. 0 SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Unfin. Basement No. Dwellings Number Plans Requ'red ❑ Received ❑ FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) n TOTAL $ C U PERMIT NUMBER 04* *18:00 *18.006 A *000 .7 89.08 10-04-83 2 6479 CL O C., CU J _ L L WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 10-04-83 989.12 *18.00 DATE ISSUED PERMIT NO. 0_ I TOTAL