1981, 10-20 Permit: 81B-861 Wood FurnacePLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADORES
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
3. S
Z�//- Actual Set Backs in Feet
11 V" L)P/C ' (0 North South East West
CO ' ACTOR /PHONE �T��7 Size of Parcel Zone Classification
/e
4. D RE S/ ZZgyp Type Const. Occupancy Sprinklered
V�( ❑Yes []No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
-0 -
Area of Decks
Finished Basement
Unfin. Basement
6.
JF
TYPENo.
❑ NEW ❑ALT.
❑ AD'N. El RPL.
El MVE.
Baths
No. Stories
No. Rooms
No. of Dwellings
7,
OF
❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
1-1 BLD. ❑ PLMB. ECH. ElM.H. 1:1 POOL
WORK
of EXEMPTION
I
DESC BE WORK
Enum Dist Location (Area)
8 41 / l -t � GC�%"iL.tiL �- FEES COLLECTED
VALUATION I SOURCEGAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILITIES Public ❑ Private ❑
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
type of work will be complied with whether specified herein or not. Th granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state o I cal law regulating construction or the
performance of construction, SEE REVERSE SIDE FOR REQUIRED INS CTIONS !� ) Plumbing
ab
DATE OF APPLICATION /D � SIGNATURE OF z' u��v Mech. r
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Bu ing Technician - PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
�4* *17.00
*1700
*1700
A *0.00 co
86:0 0
10-20-81
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
86,12 *17.0O,CIL, j -