1979, 09-26 Permit: 79-4777 Furnace`tAN 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
MERCY, S. 3512 1 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION
2.
OWNER
n MIKE BASETTA
ADDRESS
S. 2205 Harold
CONTRACTOR
AMERICAN ENV. AIR SYSTEMS
4' ADDRESS
P.0.B0% 123, Veradale
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
PHONE
924-6200
ZIP
PHONE
924-4103
ZIP
99037
PHONE
ZIP
I YPE ❑ NEW ❑ ALT. ❑ AD -N. 1-1 RPL. 1:1MVE.
7 13 OTHER
WORK ❑ BLD. ❑ PLMB. LIIECH: ElM.H. ElPOOL
equired Set Backs in I-eet
FEES COLLECTED
Orth South
East West
ize of Parcel
Zone Classification
WATER
SEWER
Type Const.
Occupancy
Sprinklered
VvvvGVAVSv
XXXXXXX
❑Yes ❑No ❑ Req'd.
aluation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
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
Split Entry
Split Level
Rancher
DATE SIGNATURE_
Mech. GAS 12 -nn
SPECIAL APPROVALS SPECIAL CONDITIONS:
No. Baths
No. Floors
No. Rooms
Rec. Room
SEPA
Planning
CERTIFICATE
Req'd.
Rec'd.
Not Re
of EXEMPTION
Other (Specify)
I
12.00
DESCRIBE WORK
a. Gas Furnace 100.000 1"-
FEES COLLECTED
VALUATION
Source
ELECTRIC
WATER
SEWER
Q,
of
Utilities
VvvvGVAVSv
XXXXXXX
Single $
I 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 SIGNATURE_
Mech. GAS 12 -nn
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
12.00
TOTAL $
Zone Clearance
WHEN MACHINE VALIDAI
SEPA Checklist `
THIS BECOMES A PERMIT.
�'- 2 6 -?4 9
DATE V 0FFICI �^�`-�
PERMIT NUMBER
G -x`1_641-17
DATE 9/26/79
04* * 1 2.00
G !
*1200x
E *0.0r; rn
477.6
09-26-79
�i 6.479.
SPACE,
i % o
* 1 2,