1979, 11-01 Permit: 79-7153 Furnace PLAN NUMBER APPLICATION/PERMIT , PE��NUMBER
U 153
SPOKANE COUNTY - BUILDING CODES DEPARTMENT /
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE /l - 7 C1.
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 4 * * 1 2.0 0
4►
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED * 1 2 0 0 V)
1. S l'-.)1—LOT BLOCK SUBDIVISIO z_e . La-_ PARCEL NUMBER/S * 1 2 0 0
2.
,Q ,,� p`_ E * 0,00
3. OWNER tC� �R1Vy\ajE--I �L C, 7 1 5.2
ADDRESS fiJ1 ZIP Required Set Backs in Feet
3OY1A..' ' North 'South East (West 1 1 -0 1 -7 9
CONTRACT¢f2 � � � PHONE 4 Size of Parcel Zone Classification
((L hr' U7 6479.
4. ADDRESS /� ZIP I Type Const. Occupancy Sprinklered
S SOC 3 1 " '114 jl l ❑Yes ❑No ❑ Req'd.
DESIGNER, v l 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. C> l 1... c,-yes
��,,// No.Baths No. Floors No. Rooms Rec. Room
TYPE
❑ NEW P<IIT. ❑ AD'N. 0 RPL. ❑ MVE.
7. OF524E—CH:
_/ ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. ❑ PLM B. MECH: ❑ M.H. CI POOL
of EXEMPTION
DESCRIBE WOR (��� ,�r
8. 11\45L\ 6 `-�./ �/,I/1-c _ FEES COLLECTED
VALUATION Source 1 GAS ELECTRIC WATER SEWER
of p
9. Utilities t/
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. Plumbing
WLLA
DATE 11— 1—"7q SIGNATURE 64‘ ' Mech.rjp ick
SPECIAL APPROVALS SPECIAL CON I rIONS: 0
DEPT. REQ'D. REC'D. Plan Check
Env. Health
M
SEPA I o
Pla nninn —
U
a.
Mobile Home co
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATE)/—/-79 OFFICIAL 1 0H, - 5, 5 '- * 1 2, 0.0 i
APPROVED FOR ISSUANCE —