HomeMy WebLinkAbout1979, 11-01 Permit: 79-7117 FurnaceSize of Parcel
i
(PLAN NUMBER
APPLICA IION/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/4:2‘`
2.
LOT
BLOCK SUBDIVISION
OWNER.,
ADDRESS
41
CO•CTOR
rj
•iDRESS
-71)/thi,-4
LEGAL DESCRIPTION - SEE ATTACHED
PH
ZIP
DESIGNER
ADDRESS
PHONE
6.
CHANGE OF USE FROM
T
ZIP
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South
Type Const.
Occupancy
East 'West
Zone Classification
Sprinklered
Elves ❑No 0 Req'd.
Valuation
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT. LeAAD'N.
❑ PLMB. LI MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
DWL Area
Basement Area
Split Entry
8.
DESCRIBE WORK
9.
VALUATION
Source GA
of /)(`
Utilities
Building Area in Sq. Ft.
Garage Area
Split Level
CERTIFICATE
of EXEMPTION
ELECTRIC
WATER
SEWER
Storage
Rancher
Req'd.
Rec. Room
Rec'd.
Not Req'd.
I hereby certify that I have read and 0o reverse side, and know the same
of work will be complied with
give authority to violate or cancel
performance of construction.
DAT9'a7-27
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 regulati construction or the
SPECIAL APPROVALS
DEPT. R EQ' D.
REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
/V'O
415-
B1"lA -IDtoa'D
V'"
DATE/0
j'
OFFICI
AP
0
OR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
Do
11
PERMIT NUMBER
7 -7//7
DATE/ �-�3-
04* *9.00
*9.00
*9.006
E *0.00
711.62
11-01-79
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'1 01''= 7 9
71L7z
*7.00°I-