1983, 01-14 Permit: 83A-0339 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT ems? - a7
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 4/ /7// /r_,ice- LE3AL'DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER .. PHONE
3. /9#/4 L,/S i4/�/t2 i/ V-.24
ADD LESS ZIP Actual
Actual Set Backs in Feet
Ai
/4 /7// /7/-577a ,` ,`ry re' North 'South East (West
CONTRACTOR �. PHONE Size of Parcel Zone Classification 0 [� *i, qtr 1 7,00
4. 23/0A/A/15-4 /-L1ieA/4C�= ` /'L/F,� /NG; ..` 3, /7/.
NA /2
/ j ZIP Type Const. Occupancy Sprinklered * 1 T
/V ,'.Z Z— L./ZA/ /e7 1'.c( g..Y. � 9Y22- ❑Yes DNo ❑ Req'd. ri, * C00 P
DESIGNER PHONE Valuation Building Area in Sq. Ft.
s. X30
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage `• — 1 4—
83 —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6 4 / 9.
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
D NEW 0 ALT. 0 AD'N. IWRPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. f'MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK _ Enum. Dist. Location (Area) T FEES COLLECTED
8- /C�, r�G,t¢C el/4_ r-L!,'f✓, c —,Zo/1/i/l)rz/ /CSS
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES 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 JZ 3 INSPECTIONS Plumbing J
DATE OF APPLICATION / rTSIGNATURE OF APPLICF dI"- .��--Gk717 Mech. / /'ee'
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE p��� Plan Check
Env. Health � Q /� �1V�V J .—= 7.5I)
y' ' Gf SEPA >'
Planning /
O
C..)
Fire Marshall 7. Mobile Home
I._
Co. Engineer Other (Specify)
Utilities /.y
TOTAL $ / / X11'
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
hn PERMIT IS NONTRANSFERABLE 01 =14 -.8 3' 3 3.9 °zk *1 7, 0 0 a F
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL