Loading...
1980, 06-04 Permit: 80-5345 FurnacePLAN N UMBBEERCtiny n t V W APPLICATION/PERMIT SPOKANE COUNTY -.BUILDING CODES DEPARTMENT NORTH B11 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ADDRESS LOT 2. Le 1 3 S - co --4&.R Al- BLOCK SUBDIVISION LEGAL DESCRIPTION - SEE ATTACHED 3 4. 5. CONT ROS C(T O R ADDRESS DESIGNER PHONE ZIP PHONE ZIP PHONE PARCEL NUMBER/S Required Set Backs in Feet North 'South `East (West Size of Parcel 1 Zone Classification - Type Const. Occupancy Sprinklered ❑Yes ❑No 0 Req'd. Valuation l Building Area i 5q. Ft. ADDRESS 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 0 ALT. 0 AD N. 0 RPL. 0 MVE. BLD. ❑ PLMB. ...12tMECH. ❑ 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 8. - ,_S K Lv LU �4AkA �` VALUATION 9. Source of - Utilities GAS ELECTRIC 2( k WATER SEWER I hereby certify that I have read and examined this applica ion 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 r local law regulating construction or the performance of fO�constructtiionn. `CI DATE t) V SIGNATURE '"Th2iQsrE DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: 41I-11 DATE - 5- DOFFICIAL am) APPROVED FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing U- Mech. II Plan Check SEPA Mobile Home Other (Specify) GL. TOTAL $ • DATE PERMIT NUMBER M531A5 04* *7.00 *700 tb- *7006 E *GOO 8 53448 06=04'-80 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. •� ^ z 0 a A•F 13tiY10'44. 8 0 i