1982, 09-08 Permit: 82A-7916 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT "'
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
. ei APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED C 4 * * 1600
1. # 282 SkiDworth * 1 6006
2 LO BLOCK]SUBDI ISION PARCEL NUMBER/S
A 000
OWNER PHONE
3, Ben Stokke 926-3057 791.5g
ADDRESS ZIP Actual Set Backs in Feet
S. 2825 Skipworth 99206 North (South East (west 09-08-82
CONTRACTOR PHONE Size of Parcel Zone Classification 2 6479.
4 Boyle Fuel Co . 328--1521
ADDRESS ZIP Type Const. Occupancy Sprinklered
N. 1014 Division TAF C-28 99220 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5 BOYLEFC251MZ
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF �r ❑ OTHER -
WORK
0 BLD. El PLMB. IJ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. l Location (Area) ` FEES COLLECTED
8. Insta 1 Payle Gas F rnace - 100,000 BTU II
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES X Public 0 Private 0 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.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
Pi(-11;•_ _�,
DATE OF APPLICATION /-"-'--- SIGNATURE OF APPLICANT = /� v�.e'ce,,.a- /!:1-'.! --(-:-611-acoMech.
1`
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA . >-
rt.
Planning l)
-
Fire Marshall Mobile Home +�A
Co. Engineer Other (Specify)
Utilities
TOTAL $ 16 .00
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
' Buil
ui Tec ni is PERMIT IS NONTRANSFERABLE Q°9 -:11). "8 2 7 9 L 6 z *16.0 a -
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PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL x