1981, 11-30 Permit: 81B-2236 Furnace, Heat PumpPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
L./ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
' LEGAL DESCRIPTION — SEE ATTACHED
OWNER PHONE
3.
ADDRESS ZIP Actual Set Backs in Feet
A North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
,% 7E?1yf r--W,,-4;.;zejl ❑Yes ❑No ❑Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor I Upper Floors Garage Area I Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellin
TYPE
NEW ❑ ALT. �fAD'N. ❑ RPL. ❑ MVE.
% OF WORK -1 BLD. ❑ PLMB.�/IECH. ❑ M. H. ❑ POOL ❑OTHER CERTIFICATE Req'd. I Recd. Not Req'
of EXEMPTION
DESCRIBE WORK i /j Enum. Dist. Location (Area) FEES COLLECTED
8.
VALUA ON SO RCES GAS ELECTRIC WATE SEWER wnership USE CODE
OF
9. ILITILITIEPublic El 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
nATF hC ADDI Ir'ATlr)rl 1 !;- -1 _'=1 Vri CIIIIATI IQC 1. ADDI .1A1IT •/�. �. ///A_/,/.! ���iL. M@Ch.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAMF nATF
tnv. "eaun
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
��" 1..0
TOTAL $
PERMIT NUMBER
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
l41-30-81 22A'6z
*22.00'U