1980, 01-11 Permit: 80-80 FurnaceJAG-
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESSJ-IARD TO MAKE 4 COPIES
JOB AD
Ess =
c- >Nov vkAiowbi
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
is2.- milt -Low
Sox i rie tJ C►rt.'`�
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South East 'West
4.
5.
ADSSR
r
DESIGNER
PHONE ��j%J�
Sas- / `."r"'
Z�79ao7
PHONE
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
Valuation 1 Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
'rtnieWt
0 BLD.
❑ ALT.
❑ PLMB
.1]I AD N. 0 RPL.
aMECH: ❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
DESCRIBE WO
8.60A�it(iek7
VALUATION Source GAS
of
n/�
9. Utilities ✓`
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
%�' of EXEMPTION
43:000 i6
Req'd.
Recd.
Not Req'd.
ELECTRIC
WATER
SEWER
I hereby certify that I have read and examined this applica ion and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correc . 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
to give authority to violate or cancel the provisions of any other state or local law r• sulating construction or the
performance 9f construction. '
DATE I
DEPT.
SPECIAL APPROVALS
REQ'D. , REC'D.
SIGNATU
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIA
Ltd i �l ��l1 A a �
NDITIONS:
�N_ a.ol
I�au _ S I
DATE'—IJ O
OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Building.
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Oth r ((SSpecif }y)
O
J1"
TOTAL
PERMIT NUMBER
DATE /-4-80
04* *1200
* 1200 to
* 12006
E *000
7.9a
01-1'1-80
2 6479.
Cc
0
—
w
a
N
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11.:—!1'U
•
8.O z, *1200:°J