1980, 08-06 Permit: 80-8190 FurnacePL ,N NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — P ESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVISICP PARCEL NUMBER/S
n t
OVyg01EP R
3. //L2�
PHONE
�--6
No. Stories
ADDRESS �
ZIP ,�
Actual Set Backs in Feet
Ong
(/�
North South East West
C TRACTO �.
PHONE
Size of Parcel
Zone Classification
4 W
�{
n� 6 1440
Req'd.
Recd.
4.
A RESS
ZIP
Type Const.
Occupancy
Sprinklered
[]Yes [:]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5. ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM ITO I Area of Decks I Finished Basement I Unfin. Basement
s.
PERMIT NUMBER
$Q— 9/9a
04* *1600
x16.00
* 1 6,002
E *0.009
818.58
08-06-80
2 6479,
Building Technician PERMIT IS NONTRANSFERABLE 8 9. 0 o
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
❑ BLD. ❑ PLMB. � MECH. ❑ M.H. El
WORK
of EXEMPTION
DE RIB
Enum. Dist.
Location (Area)
FEES COLLECTED
8
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF ��i (� Public ❑ Private ❑
9. UTILITIES
�W`l �
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
BOG
DATE OF APPLICATION SIGNATURE OF APPLICANT /
Mech. .(G
SPE!IAL APPROVALS SPECIALCONDITIONS:
NAME DATE � —
Env. Health ��
Plan Check
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
TOTAL $�
Plans Examiner
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist
THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 8 9. 0 o