1979, 07-25 Permit: 79-978 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=ACHED
SEE ATTACHED
LOT I BLOCK IbUBUIVIbIQN I PARCEL NUMBER/S
OWNER
3.
ADD SS
CONTRAC OR
4.
ADDRESS d
DESIGNER
r
ADDRESS
CHANGE OF USE FROM ITO
6.
PHONE
) x//
ZIP
s
PHONE
Y /zv i.
ZIP
PHONE /
PHONE
ZIP
TYPE �]t'NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
% OF WORK XBLD. ❑ PLMB. ;Q MECH: ❑ M.H. El POOL
El OTHER
Required Set F3aCKs In Feet
North South
East West
Size of Parcel
Zone Classification
WATER
SEWE]this
Type Const.
Occupancy
Sprinklered
❑Yes []No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions in
DWL Area
Basement Area
Garage Area
Storage
give authority to violate or cancel the provisions of any other state or local law regulating constructionperformance
of construction.Plumbing
Split Entry
Split Level
Rancher
SPECIAL APPROVALS SPECIAL CONDITION .
DEPT. REQ'D. RECD. Ir- u ��! f Plan Check
No. Baths
No. Floors
No. Rooms
I Rec. Room
Planning
Fire Marshall Mobile Home
CERTIFICATE
Req'd.
I Recd.
Not Re(
of EXEMPTION
IN THIS SPACE,
WHEN MACHINE VALIDATED
PERMIT NUMBER
Z,L-9�7�
DATE
04 * *7.00
*700 �
*7.006
A *Q00 00
9772
07-25-79
;F 6479,
DESCRIBE WORK
,tr- FEES COLLECTED
8.:r�, j _
VALUATION
Source
GAS
ELECTRIC
WATER
SEWE]this
9.
of
Utilities
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions in
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governiBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does not pto
give authority to violate or cancel the provisions of any other state or local law regulating constructionperformance
of construction.Plumbing
DATE °'' 7 SIGNATURE "%'-� `Mech.
SPECIAL APPROVALS SPECIAL CONDITION .
DEPT. REQ'D. RECD. Ir- u ��! f Plan Check
Env. Health
4T ( SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist THISTgCOI�F A PE, MIT.
7 1 r1