1979, 08-31 Permit: 79-3265 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
MICA PARK DRIVE, S. 1511 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
9
1 2
Source
Mica Park Add.
ELECTRIC
WATER
SEWER
OWNER
Utilities
XXXXX
PHONE
MONTE
LEINUM
9286288
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
3
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
ADDRESS
Mech. 7.013
SPECIAL APPROVALS
SPECIAL CONDITIONS:
ZIP
Required Set Backs in Feet
Plan Check
E. 12607 Kiowa
Court
99206
North South
East West
Planning
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
SMITH
HEATING
326-4878
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I
❑Yes [--]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE ❑ NEW
1:1 ALT.
11AD'N. El RPL.
1:1MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
%,
OF
El OTHER
❑ BLD.
ElPLMB.
[XMECH: ElM.H.
El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
8. CLILU 11111., r UKIVALL
rcco
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
9.
Utilities
XXXXX
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. 7.013
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
31 PERMIT NUMBER
I is
DATE August 31, 1979
04* *7,00
* 1.0 0
*7,0(u
A *0.00
3264
08-31-79
z 6.479,
TOTAL $:inn
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS ffOI�E A RE, MIT. 1 h 5
* 7. 0 0 s �'