1981, 02-25 Permit: 81A-1800 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 3 COPIES
1.
2.
3.
4.
JOB ADDRESS
S. 1710 Burns Rd.
LOT
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
PARCEL NUMBER/S
5.
OWNER
Hi rrinho'',ton Cons cm Co.
A D D -€SS
+.. 11(711 3t 1-.h
CONTRACTOR
Anderson's HeatinP: & Air Cond.
PHONE
924.-1583
ZIP
HONE
F
P
928-0960
Actual Set Backs in Feet
North !South East 'West
Size of Parcel 1 Zone Classification
ADDRESSSSl
D �IGN/ER5 M?'ncficld
ZIP
9701]
PHONE
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation 1Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
WJ NEW ❑ ALT. �❑Ap N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. LIG MECH. ❑ M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. 2n1 e1A tr.j c
VALUATION SOURCE
OF
9. UTILITIES
imam & dU/�LEG{YO
FNx
Enum. Dist.
ILocation (Area)
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS /
DATE OF APPLICATION 2/2)t/81 SIGNATURE OF APPLICANT C( PIC. Jl Ci.'L1�C.�j C,'✓� sw�
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
•i 0 .
3.1)
e.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing ill
Mech. / / • "'
Plan Check
SEPA
Mobile Home
Other (Specify) L�
TOTAL $
PERMIT NUMBER
04* *14,00
*1400
*1 4.00
A *000 8
179,9
02-25-81
6.4 7 9,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0242,5i81' 180.04 *1400a
�
DATE ISSUED .,• ERMIT NO. TOTAL
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