1981, 04-14 Permit: 81A-3517 Furnace PLAN NUMBER APPLICA_ TION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT ' /A—3,15-: /
elNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS u4 * * 1700
J LEGAL DESCRIPTION — SEE ATTACHED r
L T BLOCK Sli DI ISION PARCEL NUMBER/S
2. * 1 7. 00c,
OWNER
�,/ PHONE n *
C 0 0 5
3. . /�V"e 1:>.-%/ !� ,r.(1 '7:%<'. (_.
ADDRESS --4-
ZIP Actual Set Backs in Feet 3 5 1, 6 _?
71, ,-5-=,/ 7 //a�.—l. /41j-7 North !South East 'West 0 4— 1 4— 1
COpITRACTOR PHONE Size of Parcel Zone Classification
A. vv.) 6.4 7 9.
ADIORESS ZIP Type Const. Occupancy Sprinklered
- -ry Oyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' 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 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER -
WORK
0 BLD. 0 PLMB. i MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORKEnum. Dist. Location (Area)
1 C /i I FEES COLLECTED
•
VALUATION SOURCE GAS ELECTRIC WATER SS R 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 INSPECTIO S Plumbing
--,(17---'—k/ / _ `.0f-� "f-"__ —___ —Mech. ,
DATE OF APPLICATIONSIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
•
Env. Health , ,tj,_,-/-441,a— )
SEPA a.
Planning - rte CD
(3J 14,..4-v.,/'/. '�- _ o
C_,
Mobile Home LJ.J
Fire Marshall
e
Li-
Co.
Co. Engineer Other (Specify)
Utilities ,
TOTAL $ r"�
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
BuiJding Tech ician PERMIT IS NONTRANSFERABLE 4' i' �' 4 o J
�(I, � -�- 0'4 -} 4:-� l' 3'51.7 � *1 7.0.0 a l-
�j} a� 5 2 (;\ 4/�j�!.& PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL