1979, 08-29 Permit: 79-3012 Furnace PLAN NUMBER APPLICATIONZPERMIT PERMIT NUMBER
gi SPOKANE COUNTY - BUILDING CODES DEPARTMENT `7``� -. 0(.,- Q
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE o20� (Q/ /
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS 0 ��� � O * �J
` * 1 0 0
1. /ALJ LEGAL DESCRIPTION - SEE ATTACHED * 1 2 N
2 0 0
LOT BLOCK al..,,e,.c.53 ./ PARCEL NUMBER/S * 1 2 0 0 0
2.
OW /� PHONE A *Q 0 0 OU
ger---- ---/-6-e—1,IL3 AD SS / ZIP Required Set Backs in Feet 3 0 1. 1 A
North (SouthEast (West 0 8— 9—'7 9
CO •CTOR / PHONE Size of Parcel Zone Classification 2 7 f
Itir "0
)L A., .92777//7 B 6 4 71?.
ADDRE ZIP Type Const. Occupancy Sprinklered
/ 7 ���'��-� 9,,.2_/ ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE El NEW El ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ElBLD. 1:1PLMB. CIM.H. I=1POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK G
8. O , -¢"e FEES COLLECTED
VALUATION i Source GAS OELELTRIC WATER SEWER
of
9. Utilities x `/ �(
�/\
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 construction or the
performance of construction. Plumbing
DATE SIGNATURE O
Mechr 43242-- -
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health / —
a /5/'7. / SEPA I-
U
Planning /2______ w
0_
c.,,Fire Marshall Mobile Home z
Co. Engineer Other (Specify)
•
Utilities
TOTAL $ 1C��77
X
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist .� THIS BECOMES A PERMIT.
U ?/17_;? ' _ 2 22 08 -29 -79 301. * 12,
DATE fr OFFICI
APPRO, II OR ISSUANCE -