1980, 12-01 Permit: 80B-4316 FurnacePLAN 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 3 COPIES
' JO e DDRES . 6 61;2 :5eY e , �e h LEGAL DESCRIPTION — SEE ATTACHED
BLOCK ISUBDIVIbIUN I I PARCEL NUMBER/S
OWNER
Pai-/I&/
3. e
ADDRESS
ZIP
Actual Set Backs in Feet
p!'
North South East
West
CO TRACTOR
'
PHONE
Size of Parcel
Zone Classification
C9_c� ^2 ct
7�
4.
A RE
ZIP[yQ
Type Const.
Occupancy
Sprinklered
3-0,5-j��( 9L
J 0,6
❑Yes []No ❑ Req'd.
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 Dwelling
TYPE ��
NEW ❑ ALT. El AAD'N. IC.I RPL. ❑ MVE.
7 OF
1:1BLD. 1:1U PLMB. MECH. ❑ M.H. El ❑OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8
VALUATION
SOURCE'
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIESSingle
Public []Private ❑
$
1 hereby certify that I have read and examined this application and have read the "NOTICE" peovisions 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
nATF (1F APPI WATION �� / SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
NAME DATE
Env. Hez
Planning
Fire Mar
neer
Utilities
Plans Examiner
SEPA Checklist
--CIAL CONDITIONS:
y n (p Plan Check
N uC'
` SEPA
i ian PERMIT IS NONTRANSFERABLE
Mobile Home
Other (Specify)
p6RMIT NUMBER r�
&-� `�'
-, a w
+�
*12.00"
A n _.
6479.
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
121_8'1,_;$"0 4316"' *12'000