1980, 12-18 Permit: 80B-5008 FurnaceUMBER 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�,,
� �� � � � �, LEGAL DESCRIPTION —SEE ATTACHED
L01 I 13LUQK IbUbOIVISION I PARCEL INUMBER/S
3.
TO
Area of Decks
ADDRESS//�
3 /f GS <
ZIP
Actual Set Backs in Feet
North South East West
CONT A T R ,
ONE_Size
ofParcelZone
Classification
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. � RPL. ❑ MVE.
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
/3jZy , S'�
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
I
5. ADDRESS
ZIP
Main Floor Upper Floors
Garage Area
Storage
PERMIT NUMBER
80 F - �Oot)
04* *9.00
*9.00.,
R
500, 7,R
12-18-80
6 4 7 q
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. � RPL. ❑ MVE.
Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE W RK
/
Enum. Dist.
Location (Area)
FEES COLLECTED
8
VIAL115ATION
GA&
ELECTRIC
WATER
SEWER
pwnershIp
USE CODE
1SOURFC
9. UTILOITIES
Public ❑Private ❑
Single $
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
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
Mech.
DATE OF APPLICATION,/—Z SIGNATURE OF APPLICANT d?"Oe—
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
�/ /%�iA
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
TOTAL $�–��
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA checklist
THIS BECOMES A PERMIT.
Build' Technic n
PERMIT IS NONTRANSFERABLE
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