1982, 08-10 Permit: 82A-6961 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
JOB ADORES
1. YZI
I,.EGAI, DESCRIPTION — SEE ATTACHED
LOT I BLOCK 7SUBDIVISION PARCEL NUMBER/S
3. c.r 4 --
AD AD ZIP
/
Actual Set Backs in Feet
North South East
West
C NT `
Size of Parcel
Zone Classification
4.
Type Const.
Occupancy
Sprinklered
?
d
❑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
TOArea
of Decks
Finished Basement
Unfin. Basement
s.
TYPE El NEW E) ALT. D'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
7 ❑OTHER
1-1 BLD. ❑ PLMB.ECH. [IM.H. 1:1POOL
X
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DE B
Enum. Dist.
Location (Area)
8 I
FEES COLLECTED
ALUATION
SOURCE
GAS
EL C IC
ER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
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
to give authority to violate or cancel the provisions of any other state or local law r gulating construction or the
performance of construction. RE SE SIDE FOR REQUIRED INSPECTION
Plumbing
IV
DATE OF APPLICATIONAI SIGNATURE OF APPLICANT*4'C/`
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
c
PERMIT IS NONTRANSFERABLE
SEPA
Mobile Home
Other (Specify)
TOTAL $l
IPERMIT NUMBER
-�->r-\ -&� t
0 4* * 1 ti. 0 0
* 1 4.00Y
A *0,0
6960
08-10-82
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 696,115
*140 O a
rN