1980, 07-11 Permit: 80-6958 FurnaceAPPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
IF APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
RESeLEGAL DESCRIPTION - SEE ATTACHED
14 eq lee
LOT BLOCK ISUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3. OID JU"t— 4/401z)
ADDRESS _ ZIP �^ Actual Set Backs in Feet
North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
MEATI 3 ' f olv -ei�
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
EI _ Dyes ❑No ❑ Req'd.
DESI NER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area I Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
s.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7 OF WORK 11 BLD. ElPLMB. X MECH. ElM.H. 1-1POOL11 OTHER CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 Aj A IllJCE,-4 s , v .` • FEES COLLECTED
VALUATI"UTI
CE GAS ELECTRIC WATER SEWER Ownership USE CODE
F
9. I ES Public ❑ Private ❑
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS I SPECIAL CONDITIONS:
NAME DATE
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
it g is an
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 7.00
FEFiMIT NUMBER
...Gq
04* *7.00
*7,00 j
F. Q
j
6957
.4 6. f17 9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 1V-80 x9'5,8°