1982, 12-17 Permit: 82B-2019 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
C.,*) SPOKANE COUNTY - BUILDING CODES DEPARTMENT 52 V' - Zola
NORTH 811 JEFFERSON / SPOK, NE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
OT
? 1 t,(.C�1/�CJ �d LEGAL DESCRIPTION — SEE ATTACHED
1 L ) BLO K S/DIVISION PARCEL NUMBER/S li<< * * 1 6 0 0
2
OWNER C'�_ „ PHONE
3 * I F. O O `n
076
ADDRESS ZIP Actual Set Backs in Feet yyest ( I.
, /_31/ ��(„Q /ecJ, North 'South East
CO TRACTOR R /p PHONE Size of Parcel Zone Classification 1 c ` 1 ,�—
5 2
4. ` CO' , -
ADDR S -7^ ZIP q Type Const. Occupancy Sprinklered C. 4 .' y,
,2, /a/5/ �/�-i't-a't��. l 94'r G-27 9 /-1-2-O Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. .* Bo y I2'F C.2 s I 1112_ 3 -/S'.2-1
ADDRESS ZIP Main Floor Upper Floors ( Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
,�, � No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
❑ NEW I .A.. T. 0 AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) '
8 0...,:i
"_ _• �J g'� t� FEES COLLECTED
�� I
VALUATION SOURCE GA ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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 I w regulating onstruction or the
performance of construction.SEE REVERSE�( SIDE FOR REQUIRED INSPECT( �, Plumbing -
� L
(
DATE OF APPLICATION Lr C► SIGNATURE OF APPLICANT "�*1.44------ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
Planning Q
C)
Mobile Home
Fire Marshall -I
ti:
Co. Engineer Other(Specify)
Utilities /
TOTAL $ b.66
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildingp
hnici n ..1 _ PERMIT IS NONTRANSFERABLE 1,2.x;.17 —8 2 2 0 1.9 z * 16, 000174 -
r( cam/ /"' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL