Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1981, 10-08 Permit: 81B-459 Furnace, Piping
PLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 1. 2. JOB ADDRESS E , IA 3 D1 WEL-est-Zs{ LOT BLOCK SUBDIVISION EGAZ. DESCRIPTION - SEE ATTACHED PAF _L NUMBER/S OWNER 3 1 O NE n)©02 ADDRESS G 141 WsccE-/ CONTRACTOR HrxE 4. 5. PHONE �1 O ca -1'11 et ZI P GG 2c„, Actual Set Backs in Feet North _ISouth East West PHONE Size of Parcel Zone Classification ADDRESS DESIGNER ZIP Type Const. Occupancy Sprinklered ❑Yes 0 N ❑ Req'd. PHONE Valuation Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. GoAc..GAS TO Area of Decks Finished Basement Unfin. Basement TYPE 7, OF WORK ECJ NEW ❑ ALT. ❑ AD'N. ❑ BLD. ❑ PLMB. E MECH. ❑ RPL. ❑ M.H. ❑ MVE. O POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd- Not Req'd. DESCRIBE WORK 8. ©oo "f3 Tt.� �uRnJ Ace -- VALUATION SOURCE GAS OF 9. UTILITIES lam, tp t Nlj ELECTRIC WATER SEWER Enum. Dist. I Location (Area) Ownership USE CODE Public ❑ Private ❑ 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 type of work will be complied with whether specified herein or not. The granting of a permit does riot presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or he performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Q DATE OF APPLICATION V 01-71— SIGNATURE OF APPLICAN SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist aiding Technician /17 SPECIAL CONDITIONS: ,4` _ kr PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing 44. Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ Too PERMIT NUMBER g13 —*s 124* *19.00 *1900 V) 45.82 10-08-81 s 6479 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1'0'-08..81 45,95' *19.'000`g DATE ISSUED PERMIT NO. TOTAL