HomeMy WebLinkAbout1980, 02-05 Permit: 80-861 FurnacePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT — 4N 01 U
DATE _DJD),
04* *11.0^
* 1 1,006
E *0.,v
Rapp
02-05-80
p 6..479.
DESCRIBE WORK
' +
8. 1 00 0 67
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
of
9, utilities I I
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provis
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances
jpresume
Building
type of work will be complied with whether specified herein or not. The granting of a permit doesto
give authority to violate or cancel the provisions of any other state or local law regulating constr
LEGAL DESCRIPTION — SEE ATTACHED
1.
a
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. l
LOT
BLOCK
SUBDIVISION
SEPA
Planning
PARCEL NUMBER/S
2.
I
Co. Engineer
Other (Specify)
Utilities
OWNER
Zone Clearance
PHONE
SEPA Checklist
THIS BECOMES A PERMIT.
DATE OFFICIAL
3.
—
902
ADDRESS
ZIP
Required Set Backs in Feet
North South
East West
CONTRA R
PHONE
Size of Parcel
Zone Classification
4.
- l 1
ADD E S
ZIP
Type Const.
Occupancy
Sprinklered
w
❑Yes ❑No ❑ Req'd.
DESIGNEh
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area I
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE El NEW
E) ALT.
1-1Al-)'N.XRPL,
ElMVE.
7, OF 1:1BLD.
WORK
❑ PLMB.
XMECH:
ElM.H.
ElPOOL 1-1 OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
PERMIT — 4N 01 U
DATE _DJD),
04* *11.0^
* 1 1,006
E *0.,v
Rapp
02-05-80
p 6..479.
DESCRIBE WORK
' +
8. 1 00 0 67
FEES COLLECTED
VALUATION Source GAS IELECTRIV WATER
of
9, utilities I I
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provis
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances
jpresume
Building
type of work will be complied with whether specified herein or not. The granting of a permit doesto
give authority to violate or cancel the provisions of any other state or local law regulating constr
performance of construction.
Plumbing
DATE SIGNATURE—
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. l
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
DATE OFFICIAL