1979, 08-31 Permit: 79-3271 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
JOB ADDRESS
EVERGREEN, S. 1907
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3
OWNER
C W M HOMES
PHONE
PARCEL NUMBER/S
ADDRESS
ZIP
Required Set Backs in Feet
North 'South East 'West
4.
5.
CONTRACTOR --
SMITH HEATING
PHONE
326-4878
Size of Parcel ' - - Zone Classification
ADDRESS
N 0904 Cedar Rd
DESIGNER
ADDRESS
ZIP
99208
Type,Const.
Occupancy _ Sprinklered
['Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area i Sq. Ft.
ZIP
DWL Area I Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
TO
SPlit Entry
Split Level
Rancher
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
O AD N.
• MECH
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd. -
Not Req'd.
DESCRIBE WORK
8.
ELECTRIC FURNACE
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
XXXXX
WATER
SEWER
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 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
DEPT.
SPECIAL APPROVALS
. REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
OFFIC
4PPR073V OR ISSUANCE
FEES COLLECTED --
Single
Building
Plumbing
Mech.
Plan Check
7:00
SEPA •
Mobile Horne
Other (Specify)
TOTAL $ 7
0
PERMIT NUMBER.
DATE August 31, 1979
04* *7.00
*7.00 ti
*7.006 8
A *000
327.0@
08=3H-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08'i=3r17:7i9 "32'7;15
o