1979, 11-21 Permit: 79-8198 Space HeaterPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
VALUATION
9.
Source
of
Utilities
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
WATER
JOBBADD SS
:. t
°
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
LEGAL DESCRIPTION — SEE ATTACHED
1.
`}/
cid
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
LOT
BLOCKIS-OBDIVISION
performance of construction.
Plumbing
PARCEL NUMBER/S
2.
DATEZ/ 7-,-ZeY—% SIGNATURE
Mech.
LKS
SPECIAL APPROVALS SPECIAL C (TIONS:
OWNER
DEPT. REQ'D. RECD.
�'-
PH NE„
s.
SEPA
t
Planning 9
3
Fire Marshall
Mobile Home
ADPESS
Other(Specify)
ZIP
Required Set Backs in Feet
TOTAL $
Zone Clearance
North South East West
CONTRA T R
SEPA Checklist ,t,._ 79'
THIS BECOMES
PHONE
i � -/s �
DATE OFFICIAa:'�
Size of Parcel
one Classification
y .•�-i
/
7,
4'
ADDRESS �,
Ip
Type Const.
Occupancy
Sprinklered
x d
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE El NEW
El ALT. ElAD'N. 1:1 RPL.
1-1MVS.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ OTHER
WORK 1:1BLD.
❑ PLMB. XiMECH: ❑ M. H.
❑ POOL
CERTIFICATE
Req'tl.
I Recd.
Not Req'd.
of EXEMPTION
ESCRIBS OR
f
8.
fly FEES COLLECTED
VALUATION
9.
Source
of
Utilities
G ELECTRIC
11
WATER
SEWER
Single $
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
Building
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.
Plumbing
DATEZ/ 7-,-ZeY—% SIGNATURE
Mech.
LKS
SPECIAL APPROVALS SPECIAL C (TIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health J (7l � Cl
/ (JV
SEPA
t
Planning 9
Fire Marshall
Mobile Home
Co. Engineer
Other(Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATE
SEPA Checklist ,t,._ 79'
THIS BECOMES
A PERMIT.
i � -/s �
DATE OFFICIAa:'�
� .— 2 .i
1
PERMIT NUMBER
DATE
* 1 2. a 0,
L
81975
11-21-7q
6.117,