1979, 09-21 Permit: 79-4499 Furnace PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
M 79-44f99
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE q-. ___/- 7e?
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HAFfD TO-MAKE 4 COPIES 0 * * 7.0 0
Jo4 ADDRESS
1. t as-. IJ_ J`0e-e ,„ry LEGAL DESCRIPTION - SEE ATTACHED *7,00
LOT BLOCK SUBDIVISION PARCEL NUMBER/S *7.0 0 v
2.
NER PHONE E * O,0 0 ij
3. hit-)E4 1--) -- • ra_t.. 9a4--2g80 4 4 9,a 2
ADDRESS(.11- 5
ZIP Required Set Backs in Feet
t `t 5 - IJ l\) CF.;i T") 9 9 lD North 'SouthEast (west 0 9—2 1 —7 9
CO RACT PHONE Size of Parcel Zone Classification
(k u�14,. T6, 4. �_LEG 9 2-.l ae 2 6479.
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
1.°`710 E. 1ui,►Aop, 9oca>(.. ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage -
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE
❑ NEW ❑ ALT. 0 AD'N. 4 RPL. 0 MVE.
7. OF ❑ OTHER
WORK 1=1BLD. EDPLMB. ❑ MECH. ❑ M.H. ElPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8.1P T74 l Lt-t-� bon-LOOP OOP FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of Op
9. Utilities
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 regulati g construction or the
performance of construction. Plumbing (�
DATE l 7- 7 / SIGNATU E 4's't-ee� Mech. /°
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
c
SEPA c
Planning c
- L
c
Mobile Home c
Fire Marshall
Co. Engineer Other(Specify)
Utilities TOTAL $ 7.
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
7 G �Z W - ^ I - ' Cl I. Q C` * 0 (' O -
DATEg- OFFICIAL J L U t� p.,
APPROVED FOR ISSUANCE -