1983, 08-16 Permit: 83A-7851 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT�NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
rNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
'
L. APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
..0
JOB ADDRESS
1. ! •'1.4--" ., LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
3. D R yfr4.,&a
ADpIRES `� Z/ a (% Actual Set Backs in Feet
////���"',, (V{ North 'South East 'West
COTRACTOR4 i 1..#7,1 AIL:a:cc:3cl, IL, E Size of Parcel Zone Classification
4. Amt ( 'g_gc b D.
AD RES//S /n p , ZIE1/ C 1 Type Const. Occupancy Sprinklered
P( a7 t V 4_.4,6 Gtr ` t)-( Oyes ❑No ❑ Req'd. 0 (( * * 1 6 0 0
DESIGNER PHONE Valuation Building Area in Sq. Ft. * Q 0 U
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage A * 0 0 0 E-
CHANGE OF USE FROM TO Area of Decks Finished Basement Unf in. Basement 7 8 5. 0
6. - 1 6_ 3
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW 0 ALT. ❑ AD'N. 0 RPL. D MVE. L 6.47 9,
7. OF OTHER
WORK 0 BLD. ❑ PLMB. .4 / ECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
rCIF IBE WORK etitti,„ Enum. Dist. Location (Area)
8 ,� . .-F . (�Ui/660 -�,( . 4. FEES COLLECTED
VALUATION URCCEE GA ELECTRIC WATE 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 law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech. L ( On
SPECIAL APPROVALS SPEC; ON NS:
NAME DATE `,1.."1
r( Plan Check
Env. Health
SEPA rt.
Planning c_)
— L
Mobile Home -I
Fire Marshall u'..
Co. Engineer Other (Specify)
Utilities
TOTAL $ 'OD
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
-
\Buil.-io Tech is .n PERMIT IS NONTRANSFERABLE 0 8 r'1 6'--`3.3 7 8 5d z * 1 6. a �.
�� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL