1982, 03-23 Permit: G82A-2091 FurnacePLA" NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
/ •NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3•COPIES.
JOB ADDRESS
1.
f LEGAL DESCRIPTION — SEE ATTACHED
LO B OCK S BDI ISION PARCEL NUMBER/S
2.
W N E R
Z
ADDRESS'
COCO NT�
4.
PHONE
ZIP Actual Set Backs in feet
North South East
PHONE Size of Parcel one
.ADDRESS ^
ZIP
Type Const..
OccupancySprinklered
I—
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area .
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE NEW LT. AD'N. RPL. El MVE.
` ❑❑
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF 11 OTHER
WORK ❑ BLD. ❑ PLMB. 'KMECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
I
DESCRIBE WORK
8.
Enum. Dist. .
Location (Area)
' FEESCOCLECTED '
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE,
9.
OF
UTILITIES
Public ❑Private ❑
Single $
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
Building
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 INSPECTIO
Plumbing
DATE OF APPLICATION 3 -73 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
IV. Hea
anning
re Mar
eer
Plans Examiner
SEPA
Mobile Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS:
THIS BECOMES A PERMIT.
PERMIT NUMBER
;Z
04* *1600
.*1600
*160061
A *0.00
2.0.9.0.2
0'a-2.3-82
6479,.
PERMIT IS NONTRANSFERABLE I 0D:'� ,12!'311-''81,2` 2 0 9.�1 z' *•1`6, 0 0; RL; j-,
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL