1982, 12-07 Permit: 82B-1678 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 ADDRESS frUBDIVISION 1. ,AaVaCC-4
LOT BLOCK
2.
ES
Co,yy�_/
D RESS
of (- CY.
5.
DESIGNER
ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
PHONE
ZIP(Actual Set Backs in Feet
ZI7y /'
7 7_ c1 North (South East 'West
PP Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
❑Ves DNo 0 Req'd.
Valuation Building Area in Sq. Ft. .
Main Floor Upper Floors Garage Area Storage
21P
�
PHONE
ZIP
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unf In, Basement
O NEW
O BLD.
❑ ALT.
O PLMB.
SOURCE
OF
UTILITIES
O AD N.
O MECH.
O RPL.
O M.H.
O MVE.
O POOL
0 OTHER
GAS
ELECTRIC
WATER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Ownership '
Public 0 Private 0
USE CODE
Req'd.
I 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
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECT!(
' DATE OF APPLICATION 1» -3a --b-m,------SIGNATURE OF APPLICAN
SPECIAL APPROVALS SPECIAL CONDIee
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Enginee
Co/6( _EJ
Recd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing /�/r if
Mech..r / 1 4 V
G
Plan Check
SEPA
Mobile Home4/etV 4--74- j /7
Other (Specify) Grp 0
P RMIT IS TRANSFERABLE
78
PERMIT NUMBER
81-13 - 1G0-76
04* *1600
*1600'6
A •*000
.167.72
1'2=07-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 V. . •); S
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
1'"67.82
PERMIT NO.
*16.00 0F-1
TOTAL