1980, 02-05 Permit: 80-865 Furnace PLAN NUMBER PERMIT NUMBER
APPLICATION/PERMIT .�� ��_��5
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE -2, �
" 4 �}u
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
04 * *700
JOB ADDRESS '
1.
"—, . 94.5 �e-c� LEGAL DESCRIPTION — SEE ATTACHED * 7 0 0
LOT BLOCK SUBDI ISiUiv PARCEL NUMBER/S *7.0 0
2.
OWNER . PHONE E * 0,0 0 c?
ADDR S ZIP Required Set Backs in Feet 8 6 4
75 _ '' , / _ North 'South [East 'West 0 2-0 5-8 0
CON (j,C� OR P ONE Size of Parcel Zone Classification
a. n LS +-,6
-- l.-u_,tis c'"'-r (1 S �Z'S 2 6.4 7 9,
ADDRESS ZIP Type Const. Occupancy Sprinklered
- 9 l 9 C- (� �- --1— CM me-} c ❑Yes ❑No ❑ Req'd.
DESIGNER j PHONE 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
6.
TYPE No. Baths No. Floors No. Rooms Rec. Room
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER -
WORK ❑ BLD. IDPLMB. ..tkMECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8 .�e, k ti ti— FEES COLLECTED
VALUATION Source GAS ELECT IC WATER SEWER
of Xx
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.C • Plumbing
DATE ?- — `i '- �s CIf SIGNATURE bi--4-&--Q-*--- ia..6.--1)J,3:1- Mech. 1
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health cc
SEPA o c.)
Planning — w
0.
Mobile Home C)
Fire Marshall z
Co. Engineer Other (Specify)"'
Utilities Y IC- �.
TOTAL $ 1
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATE FFICIAL afn.. awn 7 L u - '' '` -
APPROVED FOR ISSUANCE