1980, 06-11 Permit: 80-5636 FurnacePLAN NUMBER APPLICATION/PERMIT
i PERMIT NUMBER
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 ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK BD IO PARCEL NUMBER/S
OWNER
PHONE
3.
—
ADDRESS
s
ZIP
CONTRAC R
P ONE
Type Const.
Occupancy
4' ADDRES
DESIGNER
PHONE
5.
Building Area in Sq. Ft.
ADDRESS
ZIP
CHANGE OF USE FROM
TO
Garage Area
s.
Actual Set Backs in Feet
forth South
East West
iize of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
Dyes ❑No ❑ Req'd.
/aluation
Building Area in Sq. Ft.
Main Floor
I Upper Floors
Garage Area
Storage
Area of Decks
Finished Basement
Unfin. Basement
TYPENEW ❑ ALT. ❑�,AD-N. 11 RPL. MVE. No. Baths No. Stories No. Rooms No. of Dwellings
,�❑
7, OF El BLD. ❑ PLMB. ITG MECH. ElM.H. ❑ POOL ❑OTHER
WORK CERTIFICATE Req'd. I Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8�.1 FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER `tom SEWER
OF Ownership USE CODE
9. UTILITIES Public El 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 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._�EE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION Q� ��ICNATURE OF APP LICAN T)l I�11 Yw.,/) �� ` Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
�
rIja�� --
u'S
I3S 1000
ian PERMIT IS NONTRANSFERABLE
PFRMIT FXPIRFS nNF VFAR FRnM nATF r]F ICCIIANCF
Plan Check
SEPA
Mobile Home
Other (Specify)
C?O
TOTAL $�_
WHEN MACHINE VALIDA7
THIS BECOMES A PERMIT.
0 6z X 1 1- 8 0
nATF MIZI Mn
04* * 1 2.00
*1200
*1200Y
B *0.00
563,52
06-11-80
2 6479.
IN THIS SPACE,
563,6> *12.0000
DCDRAIT Aln TnTAI