1982, 01-20 Permit: 82A-519 FurnacePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY -BUIL-DING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 -COPIES
JOB ADDRESS
LOT
2.
OWN (� y�
3. \Jt 2 t r0
ADDRESS t f (s ; _7� r
cox(R^AC-TnOR f7r
sf% t�a, x/ JP..T 4 441.4.. -M. -ft U.i
/el
4O CO Y I/6114a/
B OCK S BD VISION
LEGAL DESCRIPTION - SEE ATTACHED
4.
5.
Ar E593 O
DESIGNER
PARCEL NUMBER/S
PHONE
ZIP
Actual Set Backs In Feet
North 'South East
'West
P�{ONE
Yd-tP-ped.SL
Size of Parcel 1 Zone Classification
ZIP
994-4,
PHONE
Type Const.
Occupancy
Sprinklered -
OYes ONo 0 Req'd.
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Untin. Basement
7. OF
TYPE NEW 0 ALT. ���0/J/AD N. 0 RPL. 0 MVE.
WORK 0 BLD. 0 PLMB. /
yXMECH. 0 M.H. 0 POOL 0 OTHER
DESCRIBE WORK
8. 1;11r'[..i.J %�ww�.0.s.a.t ,4'1 t . r
VALUATION GAS
9.
SOURCE
OF
UTILITIES
A 411 EL C RI WATER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 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 /'/, 9)SD' ) SIGNATURE OF APPLICANT ��
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
v
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
//6.A
PERMIT NUMBER •
04* *1400
*14.00 V)
•*14.00
A *Q00 8
.51.81
`01-20-82
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
r ie 4. y Ii
0?f11,=1,20' 8121 51'91 *1 ,1 0'0 2.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NO. TOTAL
Y
0-
0 O
LLI-J
LL