1983, 08-23 Permit: 83A-8066 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT UMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT r•/,j7l ' " 0O
C____ NORTH 811 JEFFERSON / SPOKANJE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
' / /p LEGAL DESCRIPTION — SEE ATTACHED
1 LOT ,:L• SUBDIVISION � / , 4,,,`11 \
PARCEL NUMBER/S
2.
OWNER PHONE
AD S ZIP Actual Set Backs in Feet
North 'South East (West
CON,TRR TOR / PH�E Size of Parcel Zone Classification
4. ,IX' 1}mo i / ,-t„/ `0.56
ADDRESS _ ZIP Type Const. Occupancy Sprinklered
j /7 3 /-=';---a 722-<i ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. 3 It * * 1 [i 0 0
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage * 1 11 0 0
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement * r
6. 806. 5
i
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. C `-,d 2 3_8 3
7. OF ❑ OTHER -
WORK ❑ BLD. ❑ PLMB. VIECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. c
of EXEMPTION 6'l 7 9
8. DESCRIBE ORK Enum. Dist. I.Location (Area)
(((���/// � , C4‘400/ --Z.$ � eyl.�� FEES COLLECTED
VALVA OCSOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF
9. UTILITIES D 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 construc ' n or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION r1 jam/ ':ice SIGNATURE OF APPLICANT '_ / Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: . /
NAME DATE Plan Check
Env. Health
SEPA >-
0..
Planning O
_ U
Fire Marshall Mobile Home w
J
Co. Engineer Other (Specify)
Utilities ,
TOTAL $ /"/
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist , THIS BECOMES A PERMIT.
111111.1‘g �^ian O PERMIT IS NONTRANSFERABLE O 8 2 : —
ilPc �j �3 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED�`� PERI�ID t11i z *1 n TOTALI
/ . U U n L