1979, 08-31 Permit: 79-3311 FurnacePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LOT
2. 14
BLOCK
1
3
OWNER
SUBDDESVI SION F 14105
Veradale Heights 14th
DINERO ASSOC.
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
922-0702
PARCEL NUMBER/S
ADDRESS
N. 1014 Pinea Rd
ZIP
99206
Required Set Backs in Feet
North 'South East 'West
4.
CONTRACTOR
SMITH HEATING
PHONE
326-4878
Size of Parcel 1 Zone Classification
ADDRESS
N. 6904 Cedar Rd
ZIP .
99208
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation (Building Area i Sq. Ft.
ADDRESS
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. .OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW ❑ ALT. ❑ AD N. 0 RPL.
❑ BLD. 0 PLMB. gl MECH: 0
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Reced.
Recd.
Not Req'd.
DESCRIBE WORK
8.
Electric Furnace
VALUATION
9.
Source .
• of
Utilities
GAS
ELECTRIC
XXXXXX
WATER
SEWER
1 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. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
OFFICI
APPR
FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
7.00
TOTAL $ 7.00
PERMIT NUMBER
"")9 -33(1
August 31, 1979
04.* *7.00
*700 >n
*,7.006
A *Q00
331.02
08-31-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08'i„!3110779 313115 * 7.00 a 12
0
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