1982, 01-13 Permit: 82A-234 Furnace, Heat Pump PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER i
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
•
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+ 3-. ..1--�3-. ..1--NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
J.4 ADDR SS . I , e.
I� ����� � W LEGAL DESCRIPTION — SEE ATTACHED L h
1. _ C c:
LOT BLOCK SUBDIVISI N PARCEL NUMBER/S
2. * c2l; 0ir:
OW1\22... - 4,1 PHONE * ! ��� .�
3. - r -z
ADSS /7\1096
VIi\J ZIP Actual Set Backslin Feet ' J
\I r I'r North South East West
CO TRACTO H Size of Parcel Zone Classification C1 3-i:' 2
NU I� C ��' � Alla_
I►2 Cil�' �j- ` z � , c. 7
4. ' Type Const. Occupancy Sprinklered
ADiRESI `a � I ✓ ✓ V Oyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
NEW 0 ALT. ❑ 'N. 0 RPL. ❑ MVE.
7, OF D0 OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. 0 PLMB. MECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WOrEnum. Dist. Location (Area) f
86116 - o��W1f V1r
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATt R SEWER Ownership USE CODE
OF
9. UTILITIES j Public 0 Private ❑
Single $ i,
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 INSPEC IONS Plumbing
DATE OF APPLICATION / 2 SIGNATURE OF APPLICAN _ ) f', , ` Mech.
,�2,�.e•, www-[,
SPECIAL APPROVALS SPECIAL CONDITIONS: ',..�
NAME DATE Plan Check
Env. Health yeJllthc ( t,<, iNl "1.)
_
SEPA
�-�j- r�
Planning
Mobile Home
Fire Marshall u...
Co. Engineer Other(Specify)
Utilities .2-...2—.
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
(! Buil i Tecr, ian\ ( PERMIT IS NONTRANSFERABLE 0 I':441 Y�'8+2` 2,3 4 z *22.0021-2
t�_1 ,}-+N� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL