1984, 01-13 Permit: 84A-350 FurnacePLAN NUMBER
APPLICATION./PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 1 (509) 456.3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1.
13313 E. 1-/eec
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
3.
OWNE •
rYC&'$m lkeL , Critsr
PHONE
PHONE
LEGAL DESCRIPTION:
MAILING ADDRESS
ZIP
4
CONTRACTfL'i�% -' mali /(4/
)c
ADDRESS` /j,02,3( ^I-rtSS
LICENSE EXPIRES
PHn� 1333
ZI99,20L
Actual Set Backs In Feet to:
North (South East I West
Slzeof Parcel Zone Classification
Type Const.
Occupancy
Residential 0
Commercial 0
Spr nkiered
DYes 0No OReg 'd
5.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE t*NEW 0 ALT. 0 AD' N. 0 RPL.
!. OF ❑ BLD. 0 PLMB. 1>3 MECH. 0 M.H
WORK
❑ MVE.
0 POOL
0 OTHER -
No Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance .
Required Yes❑ No❑
Received YesO No❑
Number
8.
9.
DESCRI:.E WOR, J J5KU ' Pao (5,I�U C 1-
�1//nnk ^�D- �C.((� (�( (�/ll WATER I SEWAGE
PUBLIC 0 SEPTIC 0
PRIVATE 0 SEWER
VALUATION
SOURCE
F
UTILITIES
GAS
ELECTRIC
X
.Shorelines/ Flood Hazard
VesO Not Apolic.0
Plan Required 0
Received 0
Ownership
Public 0 Private 0
I hereby certify that I have read and examined this app( cation 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 au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FO REQUIRED INSPECTIONS
SIGNATURE OF APPLICATION /—
OWNER OR AGENT DATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) -
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG Horne
Other (Specify)
ll 010
TOTAL $ /
PERMIT NUMBER
?-co'
04* *14.00
*14,00'8
A *000 8
3492
01-13-84
2 6479.
35.02
01-1 3 -84
2 6479.
>-
0. L
O
V
LU
J
LL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
cleat
��• 't♦r .' 7 n gg
DATEySSUEDl' `5' — 8i,4 PERMIT Ne. 5r 0 IZ * 14 0 0 _Jo