HomeMy WebLinkAbout1980, 12-31 Permit: 80B-5380 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT l4 h - °
n / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
1� APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ✓ 41 Z LEGAL DESCRIPTION - SEE ATTACHED 0 4 * * 0 0
1. 53vk ..„ * 7.oa
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 7,006
OWNER, PHONE
3. 4 . 5: R * 000
ADDRESS ZIP Actual Set Backs in Feet
North (South East (West 5 3 7. 9
CONTRA TOR a ? PHONE Size of Parcel Zone Classification 1 2-3 1 -8 0
4. �a ., . , /. �/) y, 11733
ADDRESS G Y ZIP Type Const. Occupancy Sprinklered 6 4 7 9.
r, Q . /3c i 7 3 3 O ' `7J-do 7 ❑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.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW D ALT. ❑ AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER
WORK 0 BLD. 0 PLMB. l 'MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIB WORK Enum.Dist. I Location (Area) t
8. / _ C2- r `�� FEES COLLECTED
�� C I
VALUATLON SOURCE GAS LECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public El Private ❑ 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 regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONSPlumbing
DATE OF APPLICATION /. -/'?y��L< SIGNATURE OF APPLICANT -,-. 1---' ca Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health '
SEPA n.
,_)
Planning
— w
Fire Marshall Mobile Home -�
iL
Co. Engineer Other(Specify)
Utilities C /
TOTAL $ •
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ildin Technician PERMIT IS NONTRANSFERABLE,'2l- i'1 hh''U.
5,3 &,0'12 * 0.2 0 -
�� Z• PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO.N TOTAL