1980, 09-17 Permit: 80B-0359 FurnaceNUMBER APPLICATION/ PERMIT
SPOKANE JCOUNTY EFFERSON / SPDBUILDIING CODES DEPARTMENT
07 NORTH 811
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB Ac CV
Occupancy
LEGAL DESCRIPTION - SEE ATTACHED
' 00 1007
Y
J �
Valuation
Building Area in Sq. Ft.
LOT
PARCEL NUMBER/S
2.
[BLOCK
ISUBDIVISION
Garage Area
I Storage
OWNER �
PHONE
3.
7
;z 71
ADDRESS
ZIPQ %
Actual Set Backs in Feet
Unfin. Basement
6.
/ ✓�t�
North South East West
CO TRACTOR
P_FLO NE
Size of Parcel
Zone Classification
4' DDRE
/
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
I Storage
CHANGE OF USE FROM
Area of Decks
Finished Basement
Unfin. Basement
6.
7-0—
TYPE --
❑ NEW ❑ ALT. 4J AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
7. OF ❑ OTHER
-1 ILD. ❑ PLMB. ❑ MECH. ❑ M.H. El
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
I
ESCRIB WO
Enum. Dist.
Location (Area)
FEES COLLECTED
8
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
I UTILITIESOF
IV 2190
Public El Private C1
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. 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 INSPECTIONS
Plumbing
DATE OF APPLICATION _ _ SIGNATURE OF APPLICANT _-_
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
04* *12:00
*1200
A *000
35.8E
09-17-80
6479,
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
' 5, 9
Bui :ng n i c i a n PERMIT IS NONTRANSFERABLE ') -�—