1982, 09-01 Permit: 82A-7738 Furnace, ACPLAN NUMBER
•
APPLICATION/PERMIT
SPOKANE COUNTY - BUtLDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.
LOT IIT B OOC OCK
-Pod taco sf DR, 06:-
LEGAL DESCRIPTION - SEE ATTACHED
2.
SUBDIVISION
PARCEL NUMBER/S
OWNER
3! W f2S COO STA . S/LL. syn /7-N
ADDRESS
s, s/Cfusofc. L.tvC
coNAACONTRACTOR
c°sON fs NF.47/N6
r1 iF/G
4ADDRESS
E '37/s MAWS /-40
DESIGNER
5.
PHONE
ZIP
yao6
Actual Set Backs in Feet
North 'South [East 'West
PHONE
928--016
Size of Parcel 1 Zone Classification
ZIB
Type Const.
Occupancy
' Sprinklered
❑yes ❑No I] Req'd.
PHONE •
Valuation )Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
g NEW 0 ALT. 0 AD N. ❑ RPL. 0 MVE.
0 BLD. 0 PLMB. at MECH. 0 M.H. ❑ POOL
DESCRIBE WORK tt
8. A1,14) aSALO ecretc
zJ D1\1
❑ OTHER
Rte
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
Enum. Dist. 'Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC 1 WATER WER
X
Ownership
Public DPrivate 0
USE CODE
I 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
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
•
DATE OF APPLICATION 8/30/gat SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examine
SEPA Checklis
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. l c?. co
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL $ `9•E0
int
PERMIT NUMBER
8zc-77!0
0'4* *19.00
*19.00,5
A ;0oo
7137
0,9-01-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Ol9'01'i1i;'821
DATE ISSUED .
7!73 8 Z
PERMIT NO.
*19,0021-4
TOTAL