1981, 06-12 Permit: 81A-5894 FurnaceNUMBER 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 /j DRE V LEGAL DESCRIPTION —SEE ATTACHED
I S-
LOT BLO K SUBDI I ION PARCEL NUMBER/S
3. OW ER
VI \ i vel PH�s ' 1009
ADDRYESS l� ZIP Actual Set Backs in Feet
N North South East
CONTRA TO Pffd� E Size of Parcel Zone Classific,
,JO -12-15
ADDRESS
p
-2-0 -:�,
Type Const.
Occupancy
Sprinklered
I
r7 -LjDC
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor I
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPEEW
N
❑ ALT. ❑
❑
D'N. RPL.
❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
), OF
1-1OTHER
WORK 1:1 BLD.
—/
11PLMB.
MECH. ElM.H.
❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
of EXEMPTION
3 DESCRIBE W RK
Enum. Dist.
Location (Area) FEES COLLECTED
VALUATION SOURCE GAS E ECTRIC I WATER I SEWER Ownership USE CODE
OF
a. UTILITIES Public 11 Private ❑ Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
Dn 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 Building
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 it INSPECTIONS. � Plumbing
CO .
DATE OF APPLICATION = �- 21 SIGNATURE OF APPLICANT Mech.
Jrrl.IAL mrrrsvvraw
NAME DATE
Env. Health
Fire
Co. Engineer l
s Examiner
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
OC Rfi— --C nk— VCAO COAAA MATO nC IC0IIAK1—
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
e) to - r5�94
4* *16.00
*160
589,5
06-12-81
6479
TOTA L $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
5' 8 9' 4 Z;
llnTr 1[. flrr� nrr..r w�
*160020-