1979, 10-10 Permit: 79-5603 Conv BurnerPLAN NUMBER
/
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
i
PERMIT NUMBER
79-34D_3
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE 10/10/79
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
XRXXNXX N. 2605 Center Rd.
. LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/5
3.
OWNER
ADDRESS
P. H. McGee
SAme
P42g54764
ZIP
4.
5.
CONTRACTOR..
ADDRESS
DESIGNER
G & M Heating
N. 300Y Crestline,
PHONE
484-4078
ZIP 99207
PHONE
ADDRESS
ZIP
Required Set Backs in Feet
North 'South East 'West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
❑Ves ONo ❑ Req'd.
Valuation Building Area in Sq. Ft.
DWL Area I Basement Area Garage Area Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
IIEXX Oil
TO
Gas
Split Entry
Split Level
Rancher
❑ NEW 0 ALT. I. 0 AD N. 0 RPL. 0 MVE.
❑ BLD. agit-Me. CH: l] M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
Install cony. burner
VALUATION
9.
Source
of
Utilities
GAS
XXXXX
ELECTRIC
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. /'�,_9 (/��
DATE 10/10/79
SIGNATURE c -+'-C
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
10014 BTU
Pipe 10'Feet
DAT Vd W^! gFI CIAL2� .
APPROVED FOR ISSUANCE
FEES COLLECTED
Single S
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
04* *120.0
*1200
*1200,5
E *Q00
56Q22-
10-1079
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'01E4 9. 5 6`0:3 = ;1.2.0t0
CC
0
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