1981, 06-01 Permit: 81A-5297 FurnaceP. AN NUMBER
APPLICATiONTPERMIT
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 ADDRESS
1.
°rx./t/4*&
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
ADDRESS p �/
C/612 AC onziejlye
CONT CTOR y- / ,p
4. �o.L�D�✓ T,�w - t, er.
ADDRESS �/
/-fl/1 `% —1c C
DESIGNER
5.
PHONE
ZI4PP
/ &71 e019
PARCEL NUMBER7S
Actual Set Backs -In Feet
North (South East 'West
PHONE
Size of Parcel Zone Classification
ZIP
Type Const.
Occupancy Sprinklered
Oyes ONo 0 Redid.
PHONE
Valuation _ I 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 mxwieiNEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. ZMECH. 0 M.H. 0 POOL
DESCR''OE WORK B ,�✓
8. i�r7��r�+�/� G��i7Jle/4, i"ttrtitGt�i
SOURCE GAS—
OF
9. UTILITIES
VALUATION
ELECTRIC
WATER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
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
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 . l a%/roj4
SPECIAL APPROVALS
NAME DATE
Env. Health •
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Odin 'clan
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)
U
TOTAL 06
$ //
PERMIT NUMBER
g 1A ": a 7
04* *1400
*1400 V)
*14006
A *000
529.68
0'6-01-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
II'1i-1g;Yl
DATE ISSUED
5 2 :9 71 1*1 4 0, 0 ,a0 �.
PERMIT NO. TOTAL