1981, 10-22 Permit: 81B-972 FurnaceNUMBER- - APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 1 - . I LEGAL DESCRIPTION — SEE ATTACHED
1. C7 /L40
LOT I BLOCK ISL
2.
OW U R J 1 r�
3.
/// eA)
PHONE
?a q-012
ADD RESS
ZIP
Actual Set Backs in Feet
11
1,90
��
A a/✓
North South East
West
PPlNTRACT R /� _
PHONE
Size of Parcel
Zone Classification
' e,0 N� ✓�/
4.
AR DRESS
`
ZIP
Type Const.
I
Occupancy
Sprinklered
/�' ; e l c
71 %rp e,7
❑Yes []No ❑ 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. Baseme
6.
No. Baths
No. Stories
No. Rooms
No. of Dwel
TYPE 1:1 NEW El ALT. 1-1 AD -N. 1:1 RPL. 1:1MVE.
7, OF ❑ OTHER
11BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not R
WORK
of EXEMPTION
I
SCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8 `�„ _
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF S
1UTILITIE
I
Public ❑Private ❑
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
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
nATC r1C APPI If ATIOKI 6- S/ —H CIrMOTI IRC ()C ADDI I(`ANT �#'�''^' './�
Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
Building TechAfcl n
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
-
TOTAL $ /Y,4*
PERMIT NUMBER
F,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2`Z'_8r1 9T2z
*1%0 0alJ-