1981, 08-10 Permit: 81A-7904 FurnacePLAN NUMBER
_ n I
. 1.
APPLICATION/ PERMIT �f PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT (/f/)]
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 -,COPIES
JOB ADDRESS
3� O LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOC S BDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
0 4 1 a Q Q
ADDRESS ZIP Actual Set Backs in Feet
* U Q Q tn
North South East
West
* 1 v o Q Q C6
CONTR CTOR PHONE Size of Parcel Zone Classification
32 -Sc°
A * 0.0 0
a.
ADDRESS Z P Type Const. Occupancy
Sprinklered
❑Yes ❑Na ❑ Req'd. ..
7 9 Q. 3 � J
DESIGNER PHONE Valuation Building Area in Sq. Ft.
08-10-81
5.
ADDRESS ' ZIP Main Floor Upper Floors
Garage'Area '. Storage
2 6,479.
CHANGE OF USE FROM Area of Decks Finished Basement Unfin. Basement
FTo
6.
TYPE No. Baths No. Stories
❑ NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
No.'Rooms No. of Dwellings
'
], OF OTHER
❑ BLD. ❑ PLMB. XMIECH.. • ❑ M.H. ❑ POOL CERTIFICATE
Req'd. Recd. Not Re
WORK
WORK
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8
FEES COLLECTED '
VALUATION SOURCE /GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9., UTILITIES Public ❑ Private ❑
Single � $
..
I 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 ordiriances 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
l_
DATE OF APPLICATION nI SIGNATURE OF APPLICANT �/�,'U I�
Mech..`
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health ?�GG�C� GL J'�'?moi
f
i II
Planning. ,YI
SEPA
CL
I
U
Mobile Home
J
Fire Marshall
U_
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
B\ ui ingQ7e4hnilcian PERMIT IS NONTRANSFERABLE
Q18 �1441.oili418'.J
�' 9 A 4 'a * o j -
1-s: o o
I
Z a F -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO.. TOTAL