1982, 03-04 Permit: 82A-1459 FurnacePLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY SUIYDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. East 11510 Fairview LEGAL DESCRIPTION —SE ATTACHED
LO B K ON
2.
OWNER
3. Mr. Proper
PHONE
924-1247
ADDRESS ZIP Actual Set Backs in Feet
E. 11510 Fairview 99206 North South East
CONTRACTOR PHONE Size of Parcel Zone Classific
4TNC-325-4505
ADDRESS�Lp
E. 204 Indiana
9207
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5.
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
Unfin. Basement
TYPE
No. Baths
No. Stories
No. Rooms
No. of Dwelling
NEW ALT. AD'N. RPL. ❑ MVE.
7 LJ NEW
El BLD. ❑ PLMB. ❑ MECH. EIM.H. 11 POOL ❑OTHER CERTIFICATE Req'd. I Rec'd. Not Req'c
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8• replace gas furnace 100. 000 vii
VAL ATION SOURCE GAS ELECTRIC WATER' SEWER
Ownership USE Ige
OF
9. UTILITIES Public El Private ❑ Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions in
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governi
type of work will be complied with whether specified herein or not. The granting of a permit does not prBuilding
to give authority to violate or cancel the provisions of any other state or local law regulating construction performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS PlumbingDATE OF APPLICATION 1/25/82 SIGNATURE OF APPLICANT Mech. 10.00
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE I Plan Check
Planning
Fire Marshall
Co. Engineer
ns Examiner
Technic PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $ 110 00
WHEN MACHINE VALIDATED
THIS BECOMES A PERMIT.
DATE IS�HFD
MIT
PERNUMBER
)A - i
#10332
04* * 1 6.00
*1600
* 1 6.008,
A * 0. .3 0
1 45.82
0304-82
6.479.
IN THIS SPACE,
1.4�9z
PFRMIT N
*16,00a� -
TOTAL