1979, 08-31 Permit: 79-3313 FurnacePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
M
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES -
1.
2.
3.
JOB ADDRESS
LOT
13
OWNER
ADDRESS
BLOCK
1
SU DDeSMET E. 14111
Veradale Heights 14th
LEGAL DESCRIPTION — SEE ATTACHED .
DINERO ASSOC.
N. 1014 Pines
PHONE
922-0702
ZIP
99206
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South East 'West
4.
CONTRACTglITH HEATING
PHONE
326-4878
Size of Parcel Zone Classification
ADDRESS
N. 6904 Cedar
ZIP
99?08
Type Const.
Occupancy
Sprinklered
Dyes DNo D Req'd.
5.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area I Storage
CHANGE OF USE.FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
❑ NEW
0 BLD.
D ALT.
D PLMB:
D AD N.
MECH
❑ RPL.
O M.H.
❑ MVE.
❑ POOL
D OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
.Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
ELECTRIC FURNACE
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
XXXXXNXX
WATER
SEWER
I 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 regulatingconstruction orthe-
performance of construction.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer .
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE' 3L
OFF'' AL
APPRO 1 FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing-
Mech. 7 00
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 7.00
PERMIT NUMBER
71 — 33 13
August 31, 1979
04* *700
*7.00
*7.000
A *000
331.22
08-31-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BCOMES A PERMIT.
0 8'i -;311i 7'9- • 3' 31.3 z *7. 0.0.2 Pi