1982, 08-27 Permit: 82A-7560 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 3 COPIES
1: JOB ADC�E55 §22 /14._
LOT r� L/'�Q/I{//�
2.
OWNERC�
3.
AD ESS /�yJ',/s'�/ /,////��//tt//�
BLOCK
UB IS N
5.
DESIGNER
LEGAL DESCRIPTION — SEE ATTACHED
91,
PARCEL NUMBER/5
ZIP
PHONE
Actual Set Backs in Feet
North 'South East 'West
Size of Parcel 1 Zone Classification
Type Const.
Occupancy Sprinklered
❑Yes ❑No 0 Raced.
Valuation 1 Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE
7. OF
WORK
❑ NEW 0 ALT. ❑ AD N. 0 RPL. 0 MVE.
❑ BLD. 0 PLMB. /MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION -
R eq'd.
Rec'd.
Not Redid.
DESC
8.
VAL ATION
9.
SOURCE
OF
UTILITIES
LECTRIC 1 WATER
SEWER
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
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
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 r•gulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO •
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans
xam1ner
SEPA Check!
i1\
SPECIAL CONDITIONS:
' Jn/Oere., /0o N erV = (o o u
4 t} ICI 1 v 0
• 0
—3 . c,
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL $
V
PERMIT NUMBER
—75co0
04* *18.00
a000
A *0,00 8
75592
08=27-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
75605 *18.002 -
PERMIT NO. TOTAL
a
0
U
' J
LL