1982, 11-05 Permit: 82B-649 Furnace, PipingPLAN 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 ADDRESS
I. E..
Vtl CP L,tsi—c.
LEGALDESCRIPTION - SEE ATTACHED
LOT
2.
BLO K
SUBDIVISION
32-7- ly 3o3-
3.
4.
5.
OWNER
DINL-z•
PHONE
etzs-40C0z
PARCEL NUMBER/S
ADDRESS
e. gtzt
CONTRACTOR
CWQL t�L6
ZIP
GQzoc
Actual Set Backs in Feet
North (South
East -
(West
PHONE
Size of Parcel
Zone Classification
ADDRESS
DESIGNER
' ya
21P
Type Const.
Occupancy
Sprinklered
:DYes ENo 0 Reced.
PHONE
Valuation
Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors Garage Area
Storage -
6.
CHANGE OF USE FROM
Oma_
TO
6 AS
Area of Decks
Finished Basement
.Unfin. Basement
TYPE /NEW
7. OF
WORK 0 BLD.
0 ALT.
0.PLMB.
0AD'N. 0 RPL. 0 MVE.
IMECH. 0 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
\00, -B-r.-
VALUATI ON
9.
Enum. Oist.
-fel"et RAJA C.6
Location (Area)
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public O Private 0
USE CODE
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 regulating construction or the
performance of construction. SEE REVERSE SIDE FOR'REQUIRED INSPECTtQNS
DATE OF APPLICATIONY SOU
5 SIGNATURE OF APPLICANT/[
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer •
Utilities
Plans Examiner
SEPA Checklist
Building "kdi.�Technician
eccIinician
tJ fiC! t/ c 9e7frv-
SPECIAL CONDITIONS:
ta-004-ne i" ///577L -olLz.f - o -C
PERMIT IS NONTRANSFERABLE '
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. 44 I$ •oct
Plan Check •
SEPA
Mobile Horne -
Other (Specify)
TOTAL $ k?). 00
PERMIT NUMBER
$zt3 - 64-4
04* *1800
*18006
A *0.00
6482
11-05-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
;i
12;=,0;5{>8.2'
DATE ISSUED
6492 *1:8.00
PERMIT NO. TOTAL
0-
O
V
-1