1979, 08-13 Permit: 79-2023 FurnacePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK
� FEES COLLECTED
8.
VALUATION Source GAS ELECTRIC WATER SEWER
of �tI -F
9, Utilities 4V -,/ Single $
I hereby certify that 1 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 Kegulating construction or the
performance of construction. Plumbing
DATE 7 -3 -/ / SI G N A T U R � '"2 Mech S.047
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS: i
%t�L? vov 6C�c �4 s Tk z - t
DATE J/ OFFIC
APPRn1UFR'"Fn1R 144IIAN(:F
61 PERMIT NUMBER
7 -a v,�3
DATE 7 7
04* *1600
*1600
* 1 600
A *000
2022
08-13-79
;F 6479.
A00; -i-
yPlan
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
Plan Check
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
1.
// ��
� oe5 S kC�
C
E/f v c :
LOT
BLOCK
PARCEL NUMBER/S
2.
jSUBDI\,0,yS61ON
TOTAL $
k,a
OWNER
PHONE
3.
('Rcz/ C/
5 -S2 33
ADDER/ESS
ZIP
Required Set Backs in Feet
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
rZ /(C1
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
to %
/
vZ
❑Yes ❑No ❑ Req'd.
DESIGNER
VPHONE
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
s.
No. Baths No. Floors No. Rooms Rec. Room
TYPE NEW
� ALT. El AD'N. ❑ RPL.
El MVE.
7,
OF
❑ OTHER
El BLD.
ElPLMB. XMECH: ❑ M.H.
El
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
� FEES COLLECTED
8.
VALUATION Source GAS ELECTRIC WATER SEWER
of �tI -F
9, Utilities 4V -,/ Single $
I hereby certify that 1 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 Kegulating construction or the
performance of construction. Plumbing
DATE 7 -3 -/ / SI G N A T U R � '"2 Mech S.047
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS: i
%t�L? vov 6C�c �4 s Tk z - t
DATE J/ OFFIC
APPRn1UFR'"Fn1R 144IIAN(:F
61 PERMIT NUMBER
7 -a v,�3
DATE 7 7
04* *1600
*1600
* 1 600
A *000
2022
08-13-79
;F 6479.
A00; -i-
yPlan
Plan Check
SEPA
C
E/f v c :
Mobile Home
Other (Specify)
TOTAL $
k,a
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS ffOaJE� A Pf MIT. L rl z
* Q -�J
0
2
n