1981, 06-15 Permit: 81A-5929 Furnace PLAN NUMBER APPLICATION/PERMITPERMIT NUMB
SPOKANE COUNTY - BUILDING CODES DEPARTMENT l� �Z�
0.1
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS "W 0 4 * * 160 0
1. A'r iPAr4/ LEGAL DESCRIPTION — SEE ATTACHED * 1 6.0 0LOT BLOCK S BDI ISION PARCEL NUMBER/S
2. * 1 6.006
OWNER PHONE A * 0 0 0 8
3. ,-7-,-ilw SGitsi.'t. ,r
ADDRESS ZIP Actual Set Backs in Feet 5 9 2 8 2
S'A..c-c--e,- North 'South . 0 6- 1 5-8 1
CONTRACTOR TPHONE Size of Parcel Zone Classification
4. /fro _/'_ /or�vntr ,_ ./A-1-,-7(. 4 CliTZAC-re174` 2 6.4 7 9.
ADDRESS� �� ZLp��/ Type Const. Occupancy Sprinklered
.ifs// l(� 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.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ��ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF ❑ BLD. 0 PLMB. ,I :MMIECH. ❑ M.H. ❑ POOL El OTHER CERTIFICATE -
WORK Req'd. Rec'd. Not Req'd.
of EXEMPTION
ESCRIBE WORK ®iCt f t Enum. Dist. Location (Area) FEES COLLECTED
8"0
/oL G F it 5 • `.,4 G-e wi 1.G r I
VALUATION S URGE GAS ELECTRIC WATER�r SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 Private 0 Single $
I hereby certify that'? 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.tiSEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION6 _/z' P/ SIGNATURE OF APPLICANT rtGZ 4/fracCiak_.‘ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE 7s'dao ",7T .. flet e 6 _ Plan Check
Env. Health K
>-
S E PA rt..
Planning CD_
-
Fire Marshall Mobile Home w
Li
Co. Engineer Other (Specify)
Utilities //
TOTAL $ !i _....---
Plans
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
•
�h�• n - PERMIT IS NONTRANSFERABLE Ci-I�'5 -8 1� 5 I 9 z *1 6,0 0 a FJ -
'. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED' PERMIT NO. TOTAL