1979, 08-07 Permit: 79-1691 Furnace, AC(
alPLAN NUMBER
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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
CONKLIN, S. 2121
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
OWNER
PHONE
DEWEY HANSON CONSTRUCTION 928-7456
ADDRESS
N. 5309 Sullivan
4.
CONTRACTOR
ZIP
PARCEL NUMBER/S
Required Set Backs in Feet
North !South East 'West
PHONE Size of Parcel
A-1 HEATING & A/C 489-9581
ADDRESS ZIP
E. 45 Weile 99208
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
PHONE
ZI P
TO
❑ AD'N.
MECH:
❑ RPL.
O M.H.
❑ MVE.
0 POOL
0 OTHER
Type Const.
Occupancy
Zone Classification
Valuation
DWL Area I Basement Area
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Split Entry Split Level
No. Baths
No. Floors
No. Rooms
CERTIFICATE
of EXEMPTION
Req'd.
Storage
Rancher
Rec. Room
Rec'd.
Not Req'd.
DESCRIBE WORK
g. Electric Furnace & Air Conditioner
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
XXXXX
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 regulating construction or the
performance of construction.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
APPROOF
APPRO i FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. 11.00
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 11.00
M
PERMIT NUMBER
DATE August 7, 1979
04* *11.00
* 1 1.00
* 1 1.00
A *0,00
169,0
08-07-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THISOBECOMES APEr,RMIT.
169.12 *11.00
O J
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