1982, 02-16 Permit: 82A-1009 Furnace, Damper PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT -4- - to c
ei) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ' 0 4 * * 1 9.0 0
1. / 3 2v7 3 Lye-/e'S/ LEGAL DESCRIPTION — SEE ATTACHED
* 1 9.00
/ PARCEL BLOCK SUBDIVISION NUMBER/S
2. * 1 9,006
OWNER PHONE A * 0 0 0 8
ADDRESS / ZIP Actual Actual Set Backs in Feet 1 0 0, 8
i>, /3 9'91 3 14,.e- ties! f 9?a/4 North [SouthEast (West 0 2- 1 6-8 2
CO TRACTOR PHONE Size of Parcel Zone Classification
4. nro1c)44/ i/Ty f4f i' 9,2$'•07/00 z 6.479.
ADDRESS ZIP��_'` Type Const. Occupancy Sprinklered
47 WO /�� cc..- LC / 702 e, Oyes ❑No ❑ 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.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. 0 PLMB. ❑ MECH. ❑ M.H. ElPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist.
8. 7.4.-.5 4 7,/ .Fa AQ'r'f I/ 44 �P jC r/;-,e O ,"/r S. I Location (Area) FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER of SEWER
Ownership USE CODE
OF Public ❑Private ❑
9. UTILITIES, 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 INSPECTIONS Plumbing
DATE OF APPLICATION ^14/— SIGNATURE OF APPLICANT .tel. f-, Mech. e-e)
SPECIAL APPROVALS SPECIAL CONDITIONS: ,Or�S Of7
NAME DATE (� Plan eck
Env. Health 5- Q_. Ye- 7`, r 7 �Y f
1, A / SEPA
Planning / AIN A—! 7- 7"/�2 mit —4"✓ — U
//�/ f/// ,'-I
Fire Marshall Mobile Home —a
LC.
Co. Engineer Other (Specify)
Utilities /�
TOTAL $ l "e7O
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. •
Building •411A PERMIT IS NONTRANSFERABLE (1!2i.—=1.1 6i-8 2` 1'0 0.9 z *1'9. 0 0 a r2 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL