1983, 01-07 Permit: 83A-0144 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT gz - OH*"
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
4 7Zl �weLL LEGAL
a iDESCRIPTION - SEE ATTACHED
LOT BLOCK UBDIVISION PARCEL NUMBER/S
2. ea) �/� ��/yJQQ j3. OWNER tle JL YI/I t t � . lH�--C�- /%7ADDRESS `C C Y ZIP Required Set Backs in Feet C 4 * * 1 h' 0 0
ci North [SouthEast (West * 1 6- 0 0 Y
CONTRACT PH E Size of Parcel Zone Classification
C
4' ).—t-- OA i-i-EA6-- 740 A * 0, ',-) 0 5-2,
ADDRESS ( 7 ZIP Type Const. Occupancy Sprinklered I 3 r
N o6S OW-LAE ❑Yes No 0 Req'd.
DESIGNER 1 _ PHONE Valuation Building Area in Sq. Ft. —P 3
5' ADDRESS ZIP DWL Area I Basement Area( Garage Area I Storage G' 7 9' -
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE 0 NEW 0 ALT. 0 AD'N. RPL. 0 MVE.
7. OF / ❑ OTHER -
WORK ❑ BLD. ❑ PLMB. 1;101�pECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
8 DE IBEIQ CITic
--042-NA-Cc
FEES COLLECTED
VALU ION Source GAS ELECTRIC WATER SEWER
of 7(9. Utilities
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 per it does no presume
to give authority to violate or cancel the provisions of any other statelocal law reg lati g nstruc . n or the
performance of construction. II Plumbing
DATE I-- 2.3 SIGNATURE �Ji Mech.
SPECIAL APPROVALS SPECIAL COND I INS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
or.
1oco SEPA .
Planning w
-
2
Mobile Home Cl)
Fire Marshall
7 -.1
/
Co. Engineer ' fife GG��-�� is
('V Other (Specify)
Utilities Z:G YV
TOTAL $ 6
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
" THIS CO 4( FRMIT.
SEPA Checklist l - UL-11 / -d ). 144 z * 16001J2.
DATE_ /-7/ OFFIC ' ...I•
APPROV'p FIr " UANCE