1980, 09-09 Permit: 80-9837 FurnacePLAN NUMBER
1)
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRE� _ I 1,217\4071LOT BLOCK
SUBDIVISION
OWNER ,�yl ,�
3. ! -AD
ADDRESS
'ONT�'s-9.‘- ideatc PHONE4. 4C- • r
AD D.R ESS,
P ONE
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
1'
rbc 7
PHONE
ZI P
TO
AD'N.
MECH.
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North
South
Size of Parcel
Type Const.
East
West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Main Floor
Building Area in Sq. Ft.
Garage Area
Storage
DESCRIBE WORK
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
CTRIC
WATER
SEWER
No. Baths
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
hereby certify that I have read and examined this appiication 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. SEE REVERSE SIDE FOR REQUIRED INSPECT S
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Enginee
Utilities
Plans Examine
SEPA Checklist
Building Technician
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
Po„ccioJ
FEES COLLECTED
Single $
Building
Plumbing
Mech.
c7�
u p ,00
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ f `(32)
m
PERMIT NUMBER
if90 983 7
04* *9.00
* 9.00
* 9.006
R *000
9822
09-09-80
6.479,
• WHEN MACHINE VALIDATED IN THIS SPACE,
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
THIS BECOMES A PERMIT.
019.-.q 98.37 Z *9.00.°
DATE ISSUED
PERMIT NO. TOTAL
FII F rflPY