1980, 09-23 Permit: 80B-0746 Furnace PLAN NUMBER APPLICATION/PERMIT / PERMIT NUMBER
/(} 746
SPOKANE COUNTY - BUILDING CODES DEPARTMENT �d U
/ 1►J NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB A. DRESS `�`;' 0 L. * * 1 3 C 0
D- I 2.. k Fog11-ANp LEGAL DESCRIPTION - SEE ATTACHED
00
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 1200c
3.
OWNER
f ` ' 7 ,_
AD ESS ZIP Actual Set Backs in Feet 7 4 5
v✓-�
I 10 / P:01 -11--A.4\1 ✓✓� North 'South East 'West
CONTRACTdR PHONE Size of Parcel Zone Classification 0 9—2 3—8 0
.Jot1N B L I
I��
4' 6 4 7 9.
ADDRESS ZZIIyP.�_ Type Const. Occupancy Sprinklered
KO'09 6 c �t, s /•-"2 7 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑�,/AD'N. ❑ RPL. I=1 MVE.7. El OTHER
OF ❑ BLD. 0 PLMB. IQ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK �j ' II Enum. Dist. Location (Area)
8. &[ 9-L K\, C 137 000 r��V I FEES COLLECTED
VALUATION
SOURCE GAS ELEC/RIC WATER SEWER Ownership USE CODE
OF Public ❑Private ❑
9. UTILITIES Single $
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 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.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATIONC�/ --..7___
.� CL SIGNATURE OF APPLICANT < Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS? �1
NAME DATE 6014 u / r- 5r- I 3-7. . do q I /a ) Plan Check
Env. Health (\ —1014K,,,�,^ ..3� /
I/ 3 rune' 'I,r SEPA >--
Planning r
3 F' el WO Mobile Home - C...1w
Fire Marshall I.-,I I1 -J
Co. Engineer
rVK Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
g T � PERMIT IS NONTRANSFERABLE 0 !^• i-$ 7 4.6 z * 1 8, 0 0 2
j PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL