1982, 12-22 Permit: 82B-2134 Furnace PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 87-'3 _ 'at 34`
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PIESS I-!ARD TO MAKE 3 COPIES
JOB ADDRESSph%1 LiT50 e, LEGAL DESCRIPTION - SEE ATTACHED
BLO K SUBDIVISION PARCEL NUMBER/S
2. 1--‘----,-.—/(4 .77,4
-e
WNE3.j f L1,6- / 7tiI 4 //4/2,0 ONE
CA.■' SS (�G f71; �, IP Actual Set Backs in Feet ��
i 'L71.-6 "L i 6-da 7 V North 'South East (West L �+ * * 1
C. ACTOR ( �� PHONE Size of Parcel Zone Classification n Y
4. � ) ZIP Type Const. Occupancy Sprinklered �=1 * H L/ �YYt �t ❑Yes ❑No ❑/T *'
PHONE Valuation Building Area in Sq. Ft. C f 3 '-
5. i
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
7 .1. a ! y.
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. 0 AD'N. ❑ RPL. ❑ MVE.
7. OF El OTHER
WORK I=1BLD. ❑ PLMB. R.MECH. 0 M.H. ElPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
8. ete-7-1--
RIBE WORK /� Enum. Dist. Location (Area) FEES COLLECTED
VALUATI SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF
9. UTILITIES Public 0 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 INSPECTAQ. / Plumbing
DATE OF APPLICATION ) �- & -E5-2----SIGNATURE OF APPLICANT ,, / / ,��Zt'��� Mech.
SPECIAL APPROVALS SPECIAL CO ITIONS >>�/� ��ii /i ®v/
NAME DATE �/ ��*'/ C��� 'Ili( Plan Check
Env. Health
Planning SEPA
Mobile Home
Fire Marshall '. ��r IC
G A!_ f :--L..�-L ` .--2
Co. Engineer � G � /�� �� -�'-___(„7 Other (Specify)
Utilities l/
/ ff
/Zl TOTAL $/t.(,)4)(,)4)Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
'ding ,echnician PERMIT IS NONTRANSFERABLE 12,-2 2 8 2 2 1 3.-4 z * 16.0.0 2 I-
/ ✓ f�V- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL