HomeMy WebLinkAbout1980, 04-23 Permit: 80-3841 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT *- tiVSO— 3$)41
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
DATE 4 --' SSS ` ‘ -'
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 4 * * 7.0 0
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED * 7,0 0
1 LOT BLOCK ,SUBDIVISION� • --\1_J7._ ` _.i>_.., \` PARCEL NUMBER/S * 7 0 0
2.
OWNERt 1 PHONE E * 0. 0 0 8
ADDRESS ZIP Required Set Backs in Feet
a-b North (southEast (West 0 4—2 3-a 0
CONTRACTOR PHONE Size of Parcel Zone Classification
C �‘,. 1_.b-4 iv1.VN Circ Si—. k'C Z S z-- 2 6 4 7 9,
4' ADDRESS ZIP h Type Const. Occupancy Sprinklered
- [1 '-' C1Ci () Dyes ❑No ❑ Req'd. t
DESIGNER 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.
No. Baths No. Floors No. Rooms Rec. Room
TYPE` ] <.NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
❑ BLD. ❑ PLMB. RMECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK of EXEMPTION
DE4RIBE WORK
FEES COLLECTED
8. ._>_. )._ k..._u___.; \_}, ...) ,.,,,,Jo J.,^,), i...L,L,L../ -t'--C—;•.
VALUATION Source GAS ELECTRIC WATER SEWER
of LX.
j\
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. Plumbing
DATE .-V----.-V---- \CC D SIGNATURE )61\_Uc ) AQtCiirAV l Mech. 1• U
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA o U
Planning — w
0
Mobile Home Cl)
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist *5)3CIDFFICIALs.411K....,
THIS BECOMES A PERMIT. nDATE . 1. "yl 1' L1. cl I �:, * ?. �J 0 2 APPROVED FOR ISSUANCE —