HomeMy WebLinkAbout1979, 10-10 Permit: 79-5662 Furnacef"LAN 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 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
DESIGNER
5. ADDRESS
SUBDIVISION I PARCEL NUMBER/S
it
�--L]✓ Z.
CHANGE OF USE FROM ITO
6.
PHONE
ZIP
PHONE
C'
ZIP
PHONE
ZIP
TYPE IR NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 11 OTHER
WORK 1:1BLD. ElPLMB. 19,MECH: ElM.H. ElPOOL
Required Set Backs in Feet
LOT
BLOCK
2.
Size of Parcel
I
OWNER
Type Const.
Occupancy
3.
ADDRESS
Valuation
Building Area in Sq. Ft.
CON R CTOR
OWL Area
&-c-
4'
Storage
ADDRESS
Split Entry
DESIGNER
5. ADDRESS
SUBDIVISION I PARCEL NUMBER/S
it
�--L]✓ Z.
CHANGE OF USE FROM ITO
6.
PHONE
ZIP
PHONE
C'
ZIP
PHONE
ZIP
TYPE IR NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 11 OTHER
WORK 1:1BLD. ElPLMB. 19,MECH: ElM.H. ElPOOL
Required Set Backs in Feet
North South
East West
Size of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
OWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
Req'd.
I Recd.
Not Re(
of EXEMPTION
DESCRIBE WORK
8 loo -j UlJ FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9, Utilities x x
Single $
1 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
Plumbing
performance of construction.
Mech.
DATE G1 -moi SIGNATURE_ C
SPECIAL APPROVALS
DEPT. REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SPECIAL CONDITIONS:
SEPA Checklist
DATE OFFICI
APPROVE R ISSUANCE
Plan Check
SEPA
PERMIT NUMBER
DATE ,n ` 3-
0 4
-04* *7.00
*7.00
*7.006
E *000
5661
10-10-79
9 6.479.
Mobile Home
Other (Specify)
TOTAL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS1BECOIyIF�S A PF� MIT.
=?5 6.�