1979, 07-27 Permit: 79-1129 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 4 COPIES
JOB ADDRESS
LOCUST, N. 1005
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
4.
OWNER
R. A. RILEY
PHONE
924-0116
PARCEL NUMBER'S
ADDRESS
SANE
CONTRACTOR
NORCO HEATING
ZIP
Required Set Backs in Feet
North 'South East 'West
PHONE
534-4975
Size of Parcel Zone Classification
ADDRESS
E. 5051 Trent
ZIP
99206
Type Const.
Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
OWL Area I Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW 0 ALT. r❑a((11A,��D��N. 0 RPL. ❑ MVE.
❑ BLD. ❑ PLMB. DJME2H: 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8.
GAS FURNACE REPLACEMENT 100,000 1"---8'
VALUATION
9.
Source
of
Utilities
GAS
XXXXX
ELECTRIC
WATER
SEWER
I hereby certify that I have read and examined this applica ion 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
perforniance of construction.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS '
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE _ OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. jay
Plan Check
SEPA
Mobile Home
Other (Specify)
12.00
12.00
TOTAL $
PERMIT NUMBER
- 79-//.29
DATE duly 26, 1979
04* *1200
*1200 N
_ *12006
8
*Q00 8
1128@
07-27-79
M 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07727=79 1129Si *1200:1