1981, 07-21 Permit: 81A-7247 FurnaceAPPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WA51-' NGTON 99260 / (509) 456-3675
!I PERMIT NUMBER
W( 6 I/\ - -2)- L
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
0 4 * * 1 4.00
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
1. w; v e, A's . 1�
* 1 1 0 0
LOT
BLOCK JSUBDIVISMION
PARCEL NUMBER/S
2.
* 1 4, O 0 U
OWNER ry,r 9.A41 -f y9$e
PHONE
j (�
3. .y4 to /1,✓/'ApJ
•;k
A *p,l0 t.
ADDRESS
ZIP
Actual Set Backs in Feet
3 ;L /i$, r
✓zU
North SouthEast West
% 2 G.6 t
07-21 —81
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
Hr,,,f rl,-- /,— —
9;Lt
4' ADDRESS
ZIP
-[---
Type Const.
Occupancy
Sprinklered
fG d Ls. K
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
No. Baths
No. Stories
No. Rooms No. of Dwellings
TYPE El NEW 11 ALT. El AD'N. El RPL. El MVE.
7, OF ❑ OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
1:1 BLD. ❑ PLMB. ❑ MECH. ❑ M.H. EI
WORK
of EXEMPTION
I
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
>
8. N Tyr ✓ ,4 41v t c Y' / a C ig .r r a s2
VALUATION SOURCE GAS ELECTRIC SEWER USE CODE
Ownership
IATERI
9. UTILOITIES Public ❑Private ❑ Single $
I
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 7 a SIGNATURE OF APPLICANT Mech. Jo'sey
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE / �' s �drA D�L'+G F't-� Plan eck
!�
Env. Health /
SEPA
ning
Marshall
Engineer
Plans Examiner
SEPA Checklist
Buildin ch . ian
PERMIT IS NONTRANSFERABLE
Mobile Home
Other (Specify)
TOTAL $ . ,,a
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
7 2 � / /� '7
s Z
*1ko00-0
.s=