1981, 02-09 Permit: 81A-1277 Furnace PLAN NUMBER APPLICATION/PERMIT
�
J PERMIT NUMBER
/
SPOKANE COUNTY — BUILDING CODES DEPARTMENT f 'i A — 1 '&'
/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
v APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 4 * * 1 4,0 0
1 s 4/, 23 jasz (6�/u LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 {j'
2. * 1 4.006.
OWNE —� PHONE A * 0. 1 O E
3. '�,t / ®i'i"/.. 1 2 7 6
ADDRESS ZIP Actual Set Backs in Feet
North 'South East (West 02—0 9— 1
CONTRACTOR �_ ` PHON Size of Parcel Zone Classification
4. iG z®.�' ycvr,.6.-e'i' 11 teYz - -0'O6 0 6.4 7 9,
AD RE S/7 zip d
���/ Type Const. Occupancy SprinOyes ❑No kl❑ Req'd. G
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. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPESKEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER
WORK 0 BLD. 0 PLMB. .MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRI EORK Enum. Dist. Location (Area) T
ii
`� ' FEES COLLECTED
VALUATIONNSOURCE• GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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
DATE OF APPLICATION / ...'. d SIGNATURE OF APPLICA � ,iL// afrty Mech. /4—.4'
4
2
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA a"
2
Planning •,. O
U
Fire Marshall Mobile Home
7i
Co. Engineer Other (Specify)
Utilities /t vo
TOTAL
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
''ding T 'an PERMIT IS NONTRANSFERABLE02'�0 '9'-,8 1' 1 2 7'.7 z *140 0 °a
- ' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL