1981, 10-21 Permit: 81B-928 FurnacePLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY i BUILDING CODES DEPARTMENT
' NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
v APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. j; 2 2C. 3 nig ft - LEGAL DESCRIPTION —SEE ATTACHED
LOT BLOCK SUBDIVISION I PARCEL NUMBER/S
2.
OWNER
3. (&I I'd f1ADDRESS
7703
•-'%u � %`I`u
AfTOR
�c�k�
Actual Set Backs in Feet
4.
North South East West
ADDRESS
P. <�- (y
,
2
7 „2� 'ry2/dG
DESIGNER
El OTHER
5. ADDRESS
CHANGE OF USE FROM TO
PHONE
?A 1r - 71-1/
ZIP
Actual Set Backs in Feet
�y
/ ?
North South East West
PHONE
Size of Parcel
Zone Classification
7 „2� 'ry2/dG
El OTHER
ZIP
Type Const.
Occupancy
Sprinklered
19,W�
❑ PLMB. ❑ MECH. ❑ M. H.
I
Oyes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 11
Garage Area
I Storage
I
Area of Decks
Finished Basement
Unfin. Baseme
TYPENEW
❑
❑❑
ALT. AD'N. El RPL.
El MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
], OF
El OTHER
❑ BLD.
❑ PLMB. ❑ MECH. ❑ M. H.
❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORD
Enum. Dist.
Location (Area) FEES COLLECTED
8• nLfw 05 u d A-sc c C— t.Ak-
VALUATION SOURCE GAS ELE&RIC—PATE41 SEWER
Ownership USE CODE
OF
S ❑
9. JUTILIT11Public Private ❑ 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
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities _
Plans Examiner
SEPA Checklist
BuirCiiaQ Techni an''.
SIGNATURE OF APPLICANT Mech.
SPECIAL CONDITIONS: / % �rt2vkftl lvfGl
%ate, c't�G b I-fe A ,5It1,1P/L Plan Check
SEPA
PERMIT IS NONTRANSFERABLE
Mobile Home
Other (Specify)
PERMIT NUMBER
b
R '9?
*r.0 C. Il
*200006
A * I n
92.7=
6.4 7 9.
TOTAL $ IRC. G
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1t7,21'-81 9,285 *2Q00.aF -