1980, 10-20 Permit: 80B-2267 Furnace PLAN NUMBERAPPLICATION/PERMIT ^I PERMIT NUMBER
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SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS * * �' O
,,M,e LEGAL DESCRIPTION — SEE ATTACHED ,v G n
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 9, C0u
OWNER PHONE u * CI y-; `l `�
3. 7 e pee/7 9,c,./-i 721
ADDRESS �O9 ZIP �,/ Actual Set Backs in Feet 2 2 6. 6
-
, /f ew //r/ -/Z� North 'South East West
CO TRACTOR ',/ PHONE Size of Parcel Zone Classification 1 0-2 0-8 G
-
. /' 7.--e, LSC i2 i-4'lI .f - T 't' 6 L 7 9.
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
/3'2, ri 5. ;4sW/ Oyes ❑No ❑ Req'd. 4
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
KNEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OFR CIOTHER -
WORK I=1 BLD. CI PLMB. ,'C MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) '
--r ' / FEES COLLECTED
8. ..�/ s l{�; 7//ter / %e r,,,,'t' �I�cO,/ G6/
VALUATION SOURC't GAS ELECJ RI WATER SEWER Ownership USE CODE �
9. UTILITIES j Public ❑Private 0 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 INSPECTIONS Plumbing
S767
''
DATE OF APPLICATION /. 1. // - 5767 SIGNATURE OF APPLICANT dr/ : /<c"C/et -C ; Mech. 7
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA o_
Planning Oc.)
- W
Fire Marshall Mobile Home —1
Ci..-
+
Co. Engineer Other (Specify)
Utilities
. Y' Y‘)
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
T.. g e hal ian s PERMIT IS NONTRANSFERABLE '1 ..
I-2-
), ,,,ii. R0 1e. � * 9. 00
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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