1981, 07-24 Permit: 81A-7409 FurnaceAPPLICATION/PERMITPERMIT NUMBER
PLAN NUMBER UMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT P-4 A
i NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
y� 1 ::GAL DESCRIPTION — SEE ATTACHED
SUBDI I I IPA, 'EL NUMBER/S
OWNE PHONE
3. —
ADDRESS ZI Actual Set Backs in Feet
" North South East West
MCOTRAC�O pl Size of Parcel Zone Classification
4'
DIRE S - IType Const. Occupancy Sprinklered❑Yes ❑No 1-1Req'd.
GNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ALT. ❑ AD'N. ❑ RPL. El MVE.
7, OFElOTHER
WORK ❑ 1:1BLD. PLMB. y� MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
/y� of EXEMPTION
DESCRIBE WORK rN Enum. Dist. Location (Area)
8 7 - /I/, jW SI) „" � �� FEES COLLECTED
VALUATION I SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIESAXX Public ❑Private ❑ Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions ]orthe
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances gover
type of work will be complied with whether specified herein or not. The granting of a permit does not Building
to give authority to violate or cancel the provisions of any other state or local law regulating constructio
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION yL���ctSIGNATURE OF APPLICANT Mech. -�
SPECIAL APPROVALS I SPECIAL CONDITIONS:
NAME DATE J
nning
eMa r
neer
ns Examiner
ing Technician
PERMIT IS NONTRANSFERABLE
DCD11111T CVDIDCC nihir VCAD r-12nRA IIATG nr ICCI IAKU'r
Plan Check
SEPA
Mobile Home
Other (Specify) -
/V
TOTAL $ " �4
04* *1GL00
*1[!.00
* 1 4.0022''
1 *Q00
740,8
07-24-81
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0. I7, -52A 4 -'i 81'1 7 4 la 9 z
nArM ICC -1 ❑�DnnlT nln
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-Al