1981, 10-08 Permit: 81B-0457 FurnaceN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
v APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
RES D /r,"LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
DESCRIBE WORK
8• IN STA L L l
/?VIA (I E
FEES COLLECTED
VALUATION Source GAS — ELECTRIC WATER SEWER
9. /3 -25-r 0 Q Utioflities 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.
Plumbing
DATE 1a" 0 '` O SIGNATUREyr��""� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. I I Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATEi OFFICIAL
SEPA
Mobile Home
Other (Specify)
TOTAL $ 1,;-00
PERMIT NUMBER
DATE
WHEN MACHINE VALIDATED IN THI
THIS �jCO A, gE{.MIT.
u. ...01
04* *17,00
* 1 7.0 0
*1800
A *1,00
45.68
10-08-81
6479,
�y
PACE,
45.72*x7,00a0-
OWNER
PHONE
3.
ADDRESS
ZIIP'
Required Set Backs in Feet
is
o i O `
l
d ?^ F
(
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
C 5 »"o M Or A T/ N 4'.
eo.
f 2 2-3,? 1 .5-
4.
AADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
c� 2 0 �s 471 ^4 A At � %
C A .
4 Z -d L
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE ❑ NEW El ALT. 1:1AD'N.
El RPL.
11MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7.
OF
❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
ElBLD. ElPLMB. IX MECH: E)M.H. ElPOOL
WORK
of EXEMPTION
I
DESCRIBE WORK
8• IN STA L L l
/?VIA (I E
FEES COLLECTED
VALUATION Source GAS — ELECTRIC WATER SEWER
9. /3 -25-r 0 Q Utioflities 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.
Plumbing
DATE 1a" 0 '` O SIGNATUREyr��""� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. I I Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATEi OFFICIAL
SEPA
Mobile Home
Other (Specify)
TOTAL $ 1,;-00
PERMIT NUMBER
DATE
WHEN MACHINE VALIDATED IN THI
THIS �jCO A, gE{.MIT.
u. ...01
04* *17,00
* 1 7.0 0
*1800
A *1,00
45.68
10-08-81
6479,
�y
PACE,
45.72*x7,00a0-