1983, 03-17 Permit: 83A-1967 FurnacePLA" NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY -;'- BUI&DING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675.
JOB A
LOT
2.
OWNE
3. '—
LICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3,COPIES
LEGAL DESCRIPTION —SEE ATTACHED
ADDR S - ` /5Actual Set Backs in Feet
North South East West
Cox
O RACT R ` P ONE Size of Parcel Zone Classification
Cox
4'
A15DjRESS Type Const. Occupancy Sprinklered
v �. �L L•�ii(r�� t/ ❑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 7-0—
Area of Decks Finished Basement I Unfin. Basement
6.
TYPENEW ❑ ALT. ❑ AD'N. ❑ RPL. MVE.
No. Baths No. Stories No. Rooms No. of Dwellinc
❑ ❑
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. tZMECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'c
of EXEMPTION
DES F2iIB WORK e Enum. Dist. Location (Area) FEES COLLECTED
8.
VALUATION I SO RCE A ELECTRIC W ER SEWER USE CODE
OF
Ownership
9. UTILITIES q Public ❑Private ❑ Single ' $
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 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 INSPECTIONS Plumbing f
DATE OF APPLICA.T.L7N -3—l6 -- SIGNATURE OF APPLICANT "`�r��''�J Mech. u'1
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
J�`—'
Fire Marshall �— ': / (? `' Mobile Home
Co. Engineer / Other (Specify)
Utilities
Plans E>
n
PERMITIS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTAL $ 2d- -Y r)
044' * 1 8 0 0
1'8, 0 0
0
'A - * 0.0 0 0
.1 9f�b�
03=17=83
z 6.479 - ..
0
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DVPISS�UEi5.. PERNLI;i6) 0 k. (�TBL
z. .J 8.0, f ID ►-.
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