1979, 08-20 Permit: 79-2454 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 ADDRES
LOT1a BL e K
DIVISION
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
4.
Intl Q}�I P(e�(.«
ADDRESS U
OWNER4
T
PR FYI(
\iPT 0-ek, art,twi,
PHO
/lAD RESS
DESIGNER
5' ADDRESS
ZIP
PHONE
-5(CC
Required Set Backs in Feet
North
Size of Parcel
South
East 'West
Zone Classification
ZIP
PHONE
Type Const.
Valuation
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area
Garage Area
Storage
CHAN OF USE FROM
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
❑ NEW
O BLD.
❑ ALT. `❑ AD'N. L %RPL. 0 MVE.
93S
❑ PLMB. VMECH: 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
ALU
9.
TION L
J rkrc, Ith) Ulla
ELECTRIC
Source GAS
of
Utilities
K
ATER
SEWER
I hereby certhEy 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
performan
e of c nstruction.ntr�Fl
DATE eL 1 5- r L 1 SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE —�/OFFICIAL
snnnnurn rnn IPQ115sinr
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
DATE
04* *7.00
*7.00
*7.006
E *0.00
245.32
08-20-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-20-79 245,42
*7.00 °�
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