1979, 11-19 Permit: 79-8024 Furnace PLAN NUMBER APPLICATION/PERMIT PEjiMIT NUMBER
o��
SPOKANE COUNTY — BUILDING CODES DEPARTMENT /C/�. /tel/(,
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /V//11 ( C~1(-1
APPLICANT: COMPLETE NUMBERED SPACES `PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED 0 4 * * 1 2.0 0
1 LOT OC � DI VcJ .-L PARCEL NUMBER/S * 1 2.V 0 l7
2. * 1 2c9
2,00c,
3. OWNER• ,
- ( `Z..4— faie--li
V(
N--1 t . (424- l7( 0 E * 0 0
ADDRES , ` ZIP Required Set Backs in Feet 8 0 L 3 gr
' o �J
' North 'South East 'West
CONTRAC/�QR PHONE I Size of Parcel Zone Classification 1 1 - 1 9-7 9
4. l�fi' 6 4\1 &Jct. `l'�-6-?E) z 6 4 7 9.
ADDRESS ZIP Type Const. Occupancy Sprinklered
IC 3 ) -.,J COS-TO K(_ ❑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. CA1_,.
TYPENo.Baths No. Floors No. Rooms Rec. Room
NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
], OF ) 0 OTHER
WORK ❑ BLD. ❑ PLMB. MECH: 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. �1••• S Ar...4, t t iV ,W � nn V4riC�� FEES COLLECTED
r
VALUATION Source GAS ELECTRIC WATER SEWER
of
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 I. al law r-sulating construct'.n or the
performance of construction. Plumbing
DATE 1( —L 2-7:77 SIGNATURE i '♦ Mech.
,
SPECIAL APPROVALS SPECIAL CONDITI•ICS:
DEPT. REQ'D. REC'D. Plan Check
'el
Env.Health ,kj5 1 f°-4-& l0 00 0 SEPA 7
r ✓ i .
Planning .-""•, i i s).
_s-'1% • 6 `L- isck✓c-t'w Mobile Home cn
Fire Marshall z
sAA-CT- -t
Co. Engineer Other (Specify) ,}s�
Utilities 11
J
TOTAL $ 1?--
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS 1BECOMES A PERMIT.
1
�, � ci * 1C '.iar
DATE OFFICIAL l' _
APPROVED FOR ISSUANCE