HomeMy WebLinkAbout1981, 07-17 Permit: 81A-7135 Furnace[17", I APPLICATION/PERMIT
n, PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT V(Jylj+ 814-11-35
! NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
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APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
Gi
S
LEGAL DESCRIPTION — SEE ATTACHED
LOT
B
K
BD I O
PARCEL NUMBER/S
2.
OWNER
PHONE
3.
0 J—
_
C
ADDRESS
ZIP
Actual Set Backs in Feet
S A t
O 6
North
CONTRACTOR
PHONE
South
Size of Parcel
East West
Zone Classification
'�U 0 G
v
Gv
jj°f"Y y 7's
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
-lg,
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE❑ NEW 1:1 ALT. El AWN. t� W RPL. MVE.
No. Baths No. Stories No. Rooms No. of Dwelling
❑
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. OMECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8. (X . ri
VALU TION SOU CE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. 1UTILITIEOF
S Public ❑ Private ❑ Single $
1 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 Building i0
to give authority to violate or cancel the provisions of any other state or local law re ulati, construction or the 1' �� D 1
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS g � Plumbing -//.2,, --
DATE OF APPLICATION -1
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
/--- SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
cz c
t
:ian PERMIT IS NONTRANSFERABLE
$�• G— PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 1(0100
04* *11x00
*1600
*16001;
71 3,4
071 7-81
} 6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS B COMES A PERMIT.
� , 5 p
4;01 713.5'Z
DATE ISSUED PERMIT NO.
*16,-0.0aF -
TOTAL
0
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