1980, 04-10 Permit: 80-3362 FurnacePLAN 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
1.
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
UBDIVISION
OWNE
3. ADDRESS
CO
4.
PHONE
PP-6
PARCEL NUMBER/S
PHON0,0E
ZIP
Required Set Backs in Feet
North (South
Size of Parcel
Type Const.
Occupancy
East
'West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
DE IGNER
5. ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
DWL Area
Basement Area
Garage Area I Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TV PE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance of construction.
DAT (/ /di ll
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 regulating construction or the
SIGNATURE
SPECIAL APPROVALS
DEPT. R EQ' D.
RECD.
Env. Health
Plann ing
Fire Marshall
Co. Engineer
Util ities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
•
DATE OFFICIAL_ C
APPROVED 0 ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 7/°
PERMIT NUMBER
$C-33c.z
DATE
*7.00
*7,00
*7.00
E
*000
3361
04-10-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'-IlO-80 X56.20
*7.002