1982, 08-02 Permit: 82A-6663 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
JOB ADDR SS7' / 4 4- '
LOT
BLOCK SUBDIVISION
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TO
PH2N E
65'/ 3G3• -
Z
c..421 ea (j
;-)g-i/076-
Z1 ?9a 0 7
PHONE
ZIP
TYPE
7. OF
WORK
❑ NEW LTJ ALT.�❑,/AD'N. L'7 RPL. ❑ MVE.
❑ BLD. ❑ PLMB. L7 MECH. ❑ M.H. ❑ POOL
❑ OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South East (West
Size of Parcel
Type Const.
Valuation
Main Floor
Occupancy
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Upper Floors 1 Garage Area
Area of Decks
No. Baths
Storage
Finished Basement Unfin. Basement
No. Stories
CERTIFICATE
of EXEMPTION
No. Rooms
Req'd.
CRI B�(EWORK
8. dP-s Ngn.A
VALUIOI SOURCE
OF
9. UTILITIES
GAS
ELECTRIC
WATER
SEWER
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
I hereby certify that 1 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 lawregulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 7' G1.2 —6-2- SIGNATURE OF APPLICANT/ " ti
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bu' Te;bnician, _3015
i'
-EvA). 7S, 000 ,L.
i5'- '1(
Z4, 000 'A/C AV
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
Rec'd. Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech. (.4e).CCJ
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL 4:161-C-)
PERMIT NUMBER
04* *2000
*20.006
A *000
66626
08-02-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08'02 82
DATE ISSUED
666,32 *2 0,
PERMIT NO. TOTAL
Fii F (fPY