1979, 10-29 Permit: 79-6871 Mechanical FixturesPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
1.
S. 512 Tbierman
LOT
BLOCK
PARCEL NUMBER/S
2.
I
ISUBDIVISION
OWNER William Cross
PHONE
3.
ADDRESS Same
ZIP 99206
Required Set Backs in Feet
North South East West
CONTRACTOR
Pk
Size of Parcel
Zone Classification
G & id r:eating
94078
l{�j4
4.
ADDRESS
N. 3003 Crestline
ZIp
7920%
Type Const.
Occupancy
Sprinklered
❑Yes []No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
OWL Area Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
s.
oil
as
TYPE 1-1 NEW El ALT. E)AD'N.
El RPL. 1-1MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF11OTHER
ElBLD. E3} PLMB. L9 CH:
❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
8. DESCRIBE WORK install conversion burner FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of XX XXXXXX.
9. utilities
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. Plumbing
DATE Oct, 29, 79 SIGNATURE G #/Z e
Mech. L
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health 1001:4 BTU 1 pipe 20 --ft.
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
PERMIT NUMBER
-6'??7
DATE Oct. 29, 79
04* *1200
*1200 s
*1200
B *Q00 v
687,0
10-29-79
2 6479.
Utilities
TOTAL $
Zone Clearance
MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERIVII I. ((� �}
DATE�OFF �� 1. IJ —L e?.�i 0 T.1 *,I 2.0 (� U.� f