1979, 10-24 Permit: 79-6921 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 4
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / 1509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 4 * * 7,0 0
JOB ADDRESS
► y C�traria ex.v) LEGAL DESCRIPTION - SEE ATTACHED * 7.0 0 N
1 LO � BLOCK JUBDIVISI N PARCEL NUMBER/S * 0,0 7
2 OWNER PHONE * G 9`�c;
3. eiA }ts'il � Q •5935 B * 0,0 0 ra
ADDRESS ZIP Required Set Backs in Feet
‘)C CICK I ,(� North 'South East (west 6 9 2 0
0 TR CTOR PHONE Size of Parcel Zone Classification
10-29-79
Lt 4. b"FJ 6479,
A DRESS ?� ZIP r�11 Type Const. Occupancy Sprinklered
LitI i324 ihl "{�7ao1 ❑Yes ❑No E Req'd.
DESIGNER Ul I PHONE����11��JJ 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 ❑ NEW ❑ ALT. ❑ AD'N. VRPL. ❑ MVE.
7. OF ❑ OTHER -
WORK ❑ BLD. ❑ PLMB. ❑ MECH: 0 M.H. ElPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
D CRIBE WORK
8. (11) C .. F, k l 0 tC "' FEES COLLECTED
VALUATION Source GAS ELECTRIC - WATER SEWER
of XI
9. Utilities lJ
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 �' 94,f I ? SIGNATURE Mech. � / C-0
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. I pitbatR)--
Plan Check
Env.Health Acia(/J�`-
/1.,t ( L) _.k
SEPA Planning ! _ n
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities TOTAL $ riot)
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist 1 THIS B COM IAP MIT. o
DATEf2 OF 1 -129-7 r 4 2, 1 Z * 7 0 0 0 -i
AP'nVED FOR ISSUANCE _