1981, 05-20 Permit: 81A-4926 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
� SPOKANE COUNTY — BUILDING CODES DEPARTMENT P..Ilt ^ 4-1'/,(e7
& NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS O '� * 1 6.O 0
Z I 1 n 1 C; LEGAL DESCRIPTION - SEE ATTACHED * 1 6. 0 0 V)
1.
LOT BLOC SUB IVIS N PARCEL NUMBER/S * 1 6.O O cY�
2.
OWNER PHONE A * C.0 0 8
3. /4 / )- b I N &-- J 0 H Al S t1 /V ',I l 7 y%'e 4 9 2.5 2
ADDRESS ZIP Actual Set Backs in Feet
S A Jyt L North 'SouthEast (west 0 5 2 0 8 1
CONTRACTOR PHONE Size of Parcel Zone Classification
4. Al 0 R C6 H J A T-//v G' e. v s''3Y-Y774- 6479,
ADDRESS �' ZIP Type Const. Occupancy Sprinklered
L.' i L' r i F C --"r/iy %-y.2.C fie, Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
P
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE ,-+,� No.Baths No. Stories No. Rooms No. of Dwellings
�I NEW D ALT. 1=1 AD'N. I[JsRPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. L MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
D RIBS WORK Enum.Dist. Location (Area) FEES COLLECTED
8. GQit-.[-N
VA ATION SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF
9. UTILITIES X Public ❑Private 0 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 REVERSE SIDE FOR REQUIRED INSPECTIONS "") Plumbing
:11/
�,
DATE OF APPLICATION :�// 4',/ SIGNATURE OF APPLICANT l '- _w Mech.
I ... 0..
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE ti,/, Plan
Plan Check
Env. Healthr�, � Ge., tf ����-� 1
1� lTv /J SEPA
Planning (.J•)k) µ l r'7..
C.)
Fire Marshall Mobile Home
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
1-•- ...• Tec.• ' n PERMIT IS NONTRANSFERABLE Q �` '2e'x.8,1
49'262 . * 6.6'0 °aI-
Ar
r PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL