1979, 09-20 Permit: 79-4367 Furnacej'?LAN 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
LOT-1BLOCK SUBDIVISION PARCEL NUMBER/S
2.
3. owN
ADDRESS
CONTRACTOR
4. ADORES
DESIGNEqe-'•) V
— ADDRESS
CHANGE OF USE FROM I TO
6.
PHONE
ZIP
NE
ZIP
PHONE
ZIP
I vre.'��CW ❑ALT. 13AD'N. El RPL. 1:1MVE.
% /11 BLD. ❑ PLMB. F-1MECH: ElM.H. 11POOL 11 OTHER
WORK
DESCRIBE
8 — Q, -&R K
Q g L
Required Set Backs in Feet
North South
East West
Size of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
Dyes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
DWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
No. BTt7
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
Req'd.
Recd.
Not Re,
of EXEMPTION
I
r --A,— _ . dl
MT FEES COLLECTED
VALUATION Source GAS1 E CTRIC 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 "� — :% % SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities p(�)
TOTAL $
Zone Clearance
WHEN MACHINE VALIDAI
SEPA Checklist p r THIS BECOMES A PERMIT.
DATE OFFICI -1_ G+^ -^"J 0 9--2 0- 7 9
PERMIT NUMBER
1141 --?t - -.2�
DATE
04* *7.00
*7.00
*7,008
E *0.00
436.6
09-20-79
;? 6,479.
IN THIS SPACE,
436.75
*7,0�°'
n �-