Loading...
1980, 02-27 Permit: 80-1556 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 LEGAL DESCRIPTION — SEE ATTACHED 1. z4 -/ LOT I BLOCK IbUBDIVISION I PARCEL NUMBER/S OWNER 3. P✓1 ADDRESS CONTRACTOR 4. 4' ADDRESS ee /rR rVe" DESIGNER �' ADDRESS 1 f ie /`G i�®G/FcLytai li 'v S!1 � /� iYJ✓ P �%G1 PHONE ZIP PHONE ZIP ` PHONE ZIP CHANGE OF USE FROM 6. TO North South East West TYPE El NEW El ALT. El AWN. ❑ RPL. ❑ MVE. 7 -1PLMB. Sprinklered ❑ OTHER WORK 1:1 BLD. 1:1MECH: ElM.H. El DESCRIBE WORK 8. ('M G !Jf v �ofri DWL Area Basement Area Required Set Backs in Feet North South East West Size of Parcel Zone Classification 1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included Type Const. Occupancy Sprinklered I to give authority to violate or cancel the provisions of any other state or local law regulating construction or the ❑Yes ❑No ❑ Req'd. Valuation Building Area in Sq. Ft. DATE v'Z � SIGNATURE .� v Mech. DWL Area Basement Area Garage Area Storage DEPT. REQ'D. RECD. Plan Check Env. Health Split Entry Split Level Rancher Planning Mobile Home No. Baths No. Floors No. Rooms Rec. Room Utilities TOTAL $ Zone Clearance CERTIFICATE Req'd. Recd. Not Re( of EXEMPTION L - L FEES COLLECTED "vLsG..y.rr r'. PERMIT NUMBER t1\ I DATE VALUATION Source GAS ELECTRIC WATER SEWER of 9. Utilities 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. Plumbing DATE v'Z � SIGNATURE .� v Mech. `K �G SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning Mobile Home Fire Marshall Co. Engineer Other (Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. DAT FA a^IAj0bFFICIAL Q.5aA A miU L - L