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1981, 01-22 Permit: 81A-0755 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER ,. SPOKANE COUNTY — BUILDING CODES DEPARTMENT * eiNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 04 * * 1 4.00 /7 �© £J1' C, LEGAL DESCRIPTION — SEE ATTACHED1. * 1 4, 0 0 LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2 * 1 4. 006 OWNER PHONE A * Q 0 0 U 3. 73 RikC E a I C. D A FI L U/�,. 9.24 --s-©8S` ADDRESSS Am j ORcit4 151P C► / Actual Set Backs in Feet 7.5.4 I , 5/ O �f'� CAi•t PRELL RD • ions ( 9,./i� North 'South East (West 1 — 2 8.1 CONTRACTOR PHONE Size of Parcel Zone Classification nk0E SOiiiiIS N7-6 C.% iftlC , 128--0'60 2 6479. 4. AODRESS^� 5 /b/i'[p,�d 1 a ZIP( Type Const. Occupancy Sprinklered G c ( rP/er� [ a°6, Dyes ❑No 0 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 ❑ ALT. 0 AD'N. ❑ RPL. 0 MVE. 7. OF 0 OTHER - WORK 0 BLD. 0 PLMB. 5eMECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED 8. 'Z-t-C k..i� FuRNMOA- EA Davi-- Li.) a lei< I VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. UTILITIES /tJ�. Public 0 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 RI j DATE OF APPLICATION / / `I/A / SIGNATURE OF APPLICANT ,A _ /, - .- . ' Mech. SPECIAL APPROVAL SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health t a) 1Ec rk( .- SEPA ate. Planning riwel.' f e, D 1,1 C7` - p C) Mobile Home w Fire Marshall --I u.. Co. Engineer Other(Specify) Utilities P- / 0 ' CD,.. TOTAL $ Io Plans Examiner SEPA Checklist " 'auivi 6� �� �� THIS BECOMES A PERMIT.g WHEN MACHINE TED IN THIS SPACE, in clynhc`liaann h _ PERMIT IS NONTRANSFERABLE 0�1 2'2'7.°', 8 ', 7 5.5 z * 1.4 0 d F �C?� �� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL