1979, 12-21 Permit: 79-9399 Furnace PLAN NUMBER / ,:".1.)! �f- .G' APPLICATION/PERMIT
_ PERMIT NUMBER i
f4( (/1 / -.�c> O �/'
J/ �i SPOKANE COUNTY — BUILDING CODES DEPARTMENT -1C-t _ 9,3C9
r G, `!r'C� /1--) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES — PaESS WARD TO MAKE 4 COPIES /'
JOB ADDRESS 04 * * 1600
.if ie.) vie ,__ I,E,``/ LEGAL DESCRIPTION — SEE ATTACHED * 1 6 0 0
LOT BLOCK SUBDIVR by-
PARCEL NUMBER/S * 1 6.O O v
2. VV
OWNER
3. //10I.A1o•-v �'A - /(P d�.- T33 E *0 0 0
ADDRESS ZIP Required Set Backs in Feet939.8 2
ze yiv �(A A to//c/1 ..5". c,.✓e, Iva y9i� North 'South East (West 1 2—2 1 —7 9
CONTRACTOJ( ✓ PHONE Size of Parcel Zone Classification
4. ;4 rA a c..F / /-/F4' 1,--7. ffAc, w c t>•--..z i' -?/o�d 2 6 4 7 9.
(ADDRESS i ZIP Type Const. Occupancy Sprinklered
C ` ,2. 7�6i / -%14.✓.f� .s,11�ib;...P, 4r2 Q
� o7/4, ❑ CI❑No Req'd.
DESIGNER !/J 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 ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK _
/�� �s / f / FEES COLLECTED
8. ('L-[',l,(6'i' e # / Ad— ,--v's7 C ttv �C.[- A,! e' GtJ. / i( �f L, S 4iG/(.v-it r -e
VALUATION Source �/ GAS ELECTRIC WATER SEWER
of
9. Utilities
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. w Plumbing
DATE /&--17- 7 7 SIGNATUR ' ' i "- _ 2--ye-e---r----
Qech. p p
Mech.
APPROVALS SPECIAL CONDITIONS: ! '/"'f' 3-aO
DEPT. REQ'D. REC'D. '
� Plan Check
Env.Health r_ �6} �•
e---iitee 6. 0G/
Planning I !/"' . / SEPA 0
O
del F.i dlr.G'fl w
;Oe,c ,i5 Tu e,v/., fP — 0
Fire Marshall �/l/FQ�/l! o c/ Mobile Home cry
—
•
Co. Engineer y Su L e• P Other (Specify)
Utilities J/
TOTAL $ /G+ •tCi
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
•
SEPA Checklist / �2 /24
THIS1BECOME1SPERMIT. nDATE / ! f -OFFICIAL C.GG44Al..l)K ) 1 2. 2 1 / (1 Q. z *16. �.U f1 (-
!!! APPROVED FOR ISSUANCE
-