1980, 02-07 Permit: 80-927 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
ADDRESSJOB
1./V 6 00 11 fSDBDi I510N
LOT
2.
LEGAL DESCRIPTION - SEE ATTACHED
OW ER
r
ADDRESS
--
92U/_ 1i7 /
ZI/ /O O6
PARCEL NUMBER/S
Required Set Backs In Feet
North 'South
CONTRACTOR
/V
4. AO�LE55e O 11 e(L. T,/nC%
so y/ F — r
NE
PHO
East (West
Area in Sq.
Size of Parcel Zone Classification
DESIGNER
r
29920 6
PHONE
Type Con
Occupancy
Sprinklered
Oyes ❑No ❑ Req'd.
Building
ValuationFt.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Ranche
TYPE 0 NEW
7. OF
WORK BLD.
0 ALT. 0 AD N. L/J RPL. 0 MVE.
0 PLMB. 0 MECH: -❑ M.H. 0 POOL
0 OTHER
No. Baths
No. Flop
No. Roams
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd
Not Req'd.
8.
DESCRIBE WORK
/OO800 tr&
Cc4 ,tef o s`
Source GAS ELECTRIC
vI iTER SEWER
of
9. Utilities --44124-ie
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 correc . 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 T/ /„-"/,—.2te_�I _p
et-C_a�r—,u'-i.�l�
DEPT.
SPECIAL APPROVALS
REDID. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
-SPECIAL CONDITIONS:
DATEA":7—S0 OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. `
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
SO q
DATE
04*
* 9.0'0
*9.00 5
*9.00
*Q00
926@
n2-07-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A, ERMIT.
02`.0' -0'0 9272
*'90O.DaIJ-