HomeMy WebLinkAbout1979, 11-26 Permit: 79-8287 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 4 COPIES
1.
2.
JOB ADDRESS
E. V f1 LAY 1111 try
LOT BLc-16315U SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
OWNER
3 DUN(MI Ail ELMS'
ADDRESS
E. 9319 VA I.g wA
CONTRACTOR
4. A 1 P-) 4R 4 1t4c PLu MB I Nf�
ADDRESS
(A).8o4' PgoI/IDXNc
DESIGNER
5. ADDRESS
PHONE
ZIP
9920G
Required Set Backs in Feet
North 'South [East (West
PHONE
32,7-53/0
Size of Parcel
Zone Classification
ZI P
479205'
Type Const.
Occupancy
Sprinklered
Elves ENO ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
D NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. 6 Ace-,___AbLeicE
VALUATION
9.
l ►d S714,LLA`1I0N
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.
DATE II—�2' (o 7 Cf SIGNATURE S —
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
I75 sr a -T14
DATE OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
O6
TOTAL $ / "XX
PERMIT NUMBER
7?- c?287
DATE
04* *9.00
*9.00 N
*9.006
B *Q00 8
828.62
11-26-79
2 6479.
I—
U
— w
0
cn
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
11-2'6-79
828.7 *9.00°17-1