1979, 11-19 Permit: 79-8065 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
` SPOKANE COUNTY — BUILDING CODES DEPARTMENT /1 79--F46,
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE //—/9-7f
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 4 * * 9.0 0
JOB ADDRESS
1. I lip- BDA E.. WELL ES L9 LEGAL DESCRIPTION — SEE ATTACHED * 9.0 0 t
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 9 0 0 6
2.
017,: z PONE , E * 000 v
3. h-�►-e1 / Pa-PL.jL I L `1' b7 iD 806.42
• J.\DDRESS ,,II ,,'' ZIP /� // Required Set Backs in Feet
P.a � i`-4 it) 97 �T North 'South East (West 1 � 9—7 9
ONT4RACTOK , f �PH}ONE Size of Parcel Zone Classification
Q-L)4 L. 4JT4 - ELEC:- Yv W 6 4 7 9,
4' ADDRESS fr .�1 ZIP/ Type Const. Occupancy Sprinklered
/-D-7JO 5 c),O .,9 G A ` ,,14 :Wes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area !Basement Area Garage Area I Storage
CHANGE OF USE FROM - TO Split Entry Split Level Rancher
6. ,
TYPE No. Baths No. Floors No. Rooms Rec. Room
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ..*
7. OF ��{{ ❑ OTHER -
WORK CI BLD. 0 PLMB. I�[J MECH: I=1M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK FEES COLLECTED
8. ,�-�4i- CL,„, . A F se. k' � '''
VALUATION Source GAS EL CTR WATER SEWER
ofeld
9. Utilities `
Single $ - J'
—
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 lo� ol law regulating cruction or the
performance of construction. i) Plumbing
DATE / SIGNATURE G '
� " Mech. �•
SPECIAL APPROVALS SPECIACCONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
ce
SEPA o
I—
Planning — �U
0
Mobile Home cr)
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $ /'
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist /,_19_7 yy((��.. ////�'� THIS BECOMES A'PPEnRMIT.
DATE OFFICIAL Ld�O_ L 1 l ,1 9 1 7 r, O.�j a * 9.
APPROVED FOR ISSUANCE 1 —