1982, 12-08 Permit: 82B-1787 FurnacePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDR / LEGAL DESCRIPTION —SEE ATTACHED
1. (�AM
LOT BLOCK SUBDI ISIO PARCEL NUMBER/S
�e 1PERMIT NUMBER
-2- `l9 - V) -2
OW
3.
ADZIP
Actual Set Backs in Feet
North South
East West
CO C O 0,
Size of Parcel
Zone Classification
i r
4' AD=�
ES
Type Const.
Occupancy
SPrinklered
❑Yes ❑No ❑ Req'd.
- u s
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
r
7
ADDRESS
ZIP
Main Floor
U peer Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
❑ NEW ❑ALT. ❑ AWN. RPL. ❑ MVE.
7, OFXElOTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
❑ BLD. 1:1PLMB.MECH. ❑ M. H. E] POOL
WORK
of EXEMPTION
D SCEnum. Dist, Location (Area)
FEES COLLECTED
8. I D
VALUATION I SOURCE GAI OLECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES Public ❑ Private ❑
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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 INSPECTION
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT —_�
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE L /t, , I�
Plan Check
Env. Health v� N
SEPA
Planning
_.
Mobile Home
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ing Tech �Ic•tdli.
PERMIT IS NONTRANSFERABLE
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
12-08-82 178,72