1980, 07-11 Permit: 80-6960 FurnaceNUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
1.r-_..3' , %Cz /,
OWNER ��
3. � 1
ADDRESS
e- ,10/.26
CONTRACTOR
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1(2,9 P LEGAL DESCRIPTION — SEE ATTACHED
U - DIV151UN I PARCEL NUMBER/S
-"- -
HONE
ZIP Actual Set Backs in
Zone Classifi
4-4 1 4 > / L, IJ V v v-
4'
- y �
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
; E ILC—
��
❑Yes ❑No ❑ Req'd.
DESI ER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 OF
ElBLD. ❑ PLMB. XMECH. ElM.H. ElPOOL ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
_ }
Enum. Dist.
Location (Area)
FEES COLLECTED
7.- , ,��
8 W IWCATER
VALUATION
SOURCE
GAS
ELECTRIC
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $ 7,
Plans Examiner
WHEN MACHINE VALIDATED IN TH
SEPA Checklist
THIS BECOMES A PERMIT.
0 ? --1 'l ` 8 0,
u rli rik.TwsQtxhician .. PERMIT IS NONTRANSFERABLE
PERMIT NUMBER
04* *7.00
*7,00
E 0.00
695.9
07-1'1
c 6.479,
S SPACE,
696.0:
FU
*7,00°l- -