1979, 11-01 Permit: 79-7125 Furnace PLAN NUMBER APPLICATION/PERMIT
I PERMIT NUM`79B�
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 77
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
04 * * 7. 00
JOB ADDRESS }�
1 ?In— �� R
� LEGAL DESCRIPTION — SEE ATTACHED * 7. 0 0
LOT LOCK SUBDIVISION PARCEL NUMBER/S * 7 QQ 0 8
2 OWNER / PHONE E r ** 0 0 0 S
3 ADDRESS t4..f+'L \ I ZIP Required Set Backs in Feet 7 1 2.4 2 1
F #7 S iA�,.Q 6„..4„..1 - North 'South East (West 1 1 —0 1 -7 9
CONTORT PHONE Size of Parcel Zone Classification
4. 1.1a.A,n.... 1A..r aut 90)-/ t1-s'L-- 2 6 4 7 9.
ADDR tel.+ '} ZIP Type Const. Occupancy Sprinklered
r. , 3 a ,� ,, ..R" ❑Yes ❑No ❑ Req'd.
DESIGNER ff PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
TYPE �,.�,.L( 1:1No. Baths No. Floors No. Rooms Rec. Room
� NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
7. OF ///// ❑ OTHER
WORK ❑ BLD. ❑ PLMB. *MECH: 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.'
of EXEMPTION
DESCRIBE K
FEES COLLECTED
VALUATIO Source GAS ELECTRIC WATER SEWER
of X Single -
9. Utilities
$
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. Plumbing
DATE SIGNATU
Mech. 7�
SPECIAL APPROVALS SPECIAL CON ITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA o
F—
Planning — `U
d
Mobile Home c")
Fire Marshall Z
Co. Engineer Other (Specify)
Utilities TOTAL $ '7t
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist illb r' THIS BECOMES A PERMIT.
DATE i// OFF - �- r ' l * �� h 0
API,0 i FOR ISSUANCE _