1979, 08-31 Permit: 79-3315 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.
DESMET, E. 14117
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2. 12
BLOCK
1 Ve
SUBDIVISION
-adale Heights 14th
3
OWNER
DINERO ASSOC.
PHONE
922-070?
PARCEL NUMBER/S
ADDRESS
N. 1014 Pines Rd
ZIP
99206
Required Set Backs in Feet
North !South East (West
4.
CONTRACTOR '
SMITH HEATING
PHONE
326-4878
Size of Parcel Zone Classification
ADDRESS
N. 6904 Cedar
ZIP
99208
Type Const.
Occupancy Sprinklered
['Yes ONO 0 Req'd.
DESIGNER
6. ADDRESS
PHONE
Valuation
Building Area in 5q. Ft.
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
❑ BLD.
O ALT.
O PLMB.
❑ AD N.
MECH
0 RPL.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms ,
ReC. Room
CERTIFICATE
of EXEMPTION
R eq'd.
Recd.
Not Req'd.
DESCRIBE WORK
8.
ELECTRIC FURNACE
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
XXXXxXXX
WATER
SEWER
I hereby certify that I have read and examined this applica ion 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. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE 71 OFFICIpt�
APPROVEPl FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
7 00
TOTAL $ 7.00
✓,
DATE August 31, 1979
PERMIT NUMBER
'19 -
04*• *7.00
*7.00
*7.006
A *Q00 8
331.43
08-31-79
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'8',,311''-:7g 513155 *7,00.,2P!
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