1981, 11-13 Permit: 81B-1782 FurnacePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
P�4 G J'
Al,LOT
LEGAL DESCRIPTION —SEE ATTACHED
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
I
OWNER
-2 WleE
3.
A DR /�S!' ,/ ,
9Ce J
ZIP
7
Actual Set Backs in Feet
' 17 )15 /woG�•
North South East West
CONTRACTOR
PHONE
7/✓
Size of Parcel
Zone Classification
4.
DDRESS /J�� L���// �,/ /
h6z, : N %A� f ®1� ���lo
ZIP
Type Const. -[--Occupancy
Sprinklered
-]yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5. ADDRESS
ZIP
Main Floor -j
Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ALT. ❑ AD -N. RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. WMECH. ❑ M.H. E3 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK -- Enum. Dist. Location (Area)
s. //,/.�� �.L L 6Ntl*d Y 114 3 — >/D r�ls ,��,C'�,4 FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC 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 1REVERSE SIDE FOR REQUIRED INSPECTIO/ONNSS�////�/J�J Plumbing
fIATC n1 -DI I! ATInKl / //'�.�1 / 01f 11ATI IAC n1 A. I!� nGV�,!apr//✓�4I^' ICMech. �•tC i
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE 'd /-&J/-
� ✓
Env. Health f,
Planning
Fire Marshall G��A•�
Z7f7 `�
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $22
PERMIT NUMBER
04* *22.00
*200
A *0")0
1 7 8, 1 <<
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
;iln _ ^ PERMIT IS NONTRANSFERABLE 117 l �'' 81 17 8, 2 5 *22.002f'