1980, 09-04 Permit: 80-9599 Furnace, Heat PumpAPPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3•COPIES
JOB ADDRESS
1 7 Os � L
LOT BLOCK SUBDIVISION
2.
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
3.
TZttaA, ✓liCi(iTXi(�
ADDRESS
PHONE
7.4,E 36 3Y
ZI P
99oz /6
Actual Set Backs In Feet
North 'South
East
'West
CO TRACTOR
4.
ADDRESS -e At! -it,
F _CD S/ r—P-7tr
5.
DESIGNER
PHONE
.539—'/77S/
Size of Parcel
Zone Classification
PHONE
Type Const.
Valuation
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfln. Basement
TYPE 0 NEW
7. OF
WORK 0 BLD.
B I AR' 9 RK_
❑ ALT.
❑ PLMB.
tt<IT N.
0 MECH.
O RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
ee t
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
Enum. Dist.
Location (Area)
ELECTRIC
WATER
SE ER
Ownersh l p
Public ❑Private 0
USE CODE
I hereby certify that 1 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
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
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
%Utilities
Plans Examiner
SEPA Cnockllst
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify) ,Q,�TA/
v/
TOTAL $ /
PERMIT NUMBER
80 -7571.
04* *1300
* 1300 13
* 13006
E *Q00 0
959.8
09-04-'80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
b199 ;4114),8101
DATE ISSUED
959.91 *15.002
PERMIT NO. TOTAL
a
O
U
—J
LL