1981, 10-09 Permit: 81B-493 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 3.COPIES
1.
2.
JOB A'ORRESSS
SSY /(/
LOT BLOCK SUBDIVISION .
LEGAL DESCRIPTION - SEE ATTACHED
3.
5.
OWNER
/ i/
/r/moi^ ,;(744- B✓
PHONE
PARCEL NUMBER/S
ADDRESS
�ctiHti-�
CONTRACTOR
.6;6214✓ %ter t/e-
ZIP
Actual Set Backs in Feet'
North 'South
East
West
ADDRESS zY if/ 4:1"14(i
DESIGNER
PHONE
ZIP
99 ZG/-
Size of Parcel
Type Const.
Occupancy
Zone Classification
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Valuation .
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
. Storage.
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfln, Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
O ALT. [pD N. 0 RPL. 0 MVE.
❑ PLMB. p MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIB WORK
B4 J € a// ,LZ -,fn-e-
LUATION SO RCE ELECTRIC
OF
9. UTILITIES
,//J 4ttr
Enum. Dist.
Location (Area)
WATER
EWER
Ownership
Public ❑ Private 0
USE CODE
1 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 REVERSEJSIDE FOR REQUIRED INSPECTIONS .
DATE OF APPLICATION, r% 7-G / SIGNATURE OF APPLICA
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marsha
SPECIAL CONDITIONS:
/— 7 0210 9 Cc -f / t.r,n,get-G.P--
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
�Builahiq Technic
�� '
PERMIT IS NONTRANSFERABLE '-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
OO
TOTAL $
JI
PERMIT NUMBER
2' g —493
04*.- *2000
*2000 N
*2Q006
A *Q00
49,2
'10-09-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. .
)1'104T O c0i). 1?,
DATE ISSUED PERMIT NO. TOTAL
'4:9,3zr *20'.-0'0a -