1981, 09-29 Permit: 81A-9975 Furnace PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT �14 ��?�
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. N.
`, LEGAL DESCRIPTION - SEE ATTACHED 0 4 * * 1 60.0
LOT BLOCK BDI ISIIO�Nl �u� PARCEL NUMBER/S * 1 6 0 0 un
2.
* 16006
3. OWNER Lc,u)eI �ii1fe Plj_OIN El
1o1U-611344 A * 0,0J0 S
ADDRESS Ai
/I �^ ZIP "��` Actual Set Backs in Feet 9 7 4 P
JV • ID II (kb Ibt r 7 al54) North 'South East (west
CONTRACTOR-.. (� PHONE Size of Parcel Zone Classification 0 9-2 9-8 1
a. 4-). .cSoona j,z d . e -vice ,96-73,33
ADDRESS ''// +}','[� �/S �yA zip In Type Const. Occupancy Sprinklered -! 6 4 7 9.
N► gale le Re 7 \(M(.� -lgA04 ❑Yes ❑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 r Area of Decks Finished Basement Unfin. Basement
6.
// No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
❑ NEW ❑ ALT. ❑ AD'N. N RPL. ❑ MVE.
7. OF ❑ OTHER -
WORK ❑ BLD. CIPLMB. ❑ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
pESCRIBE WORK Enum. Dist. I Location (Area) '
8. t nsta.tl 166 Bru 6/11 -c.k, e rnac , FEES COLLECTED
VALUATION SOURCE G S ELECTRIC WATER SEWER
Ownership USE CODE
OF
9. UTILITIES Public ❑Private 0 Single $ `i
0I^-.
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 REVERSEpSIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANTW'l. -6Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE // Plan Check
Env. Health _ p1Qe e. isf-/45 t'�tr/1a ce_ SEPA
Planning <77
le)) ts6/7'►e etI. O mak. -
Fire Marshall I Mobile Home -._
Co. Engineer ther ecify) 6. 00
9sp� cc .
Utilities j
TOTAL $ 1(0.60
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
..1
=uildin• ec PERMIT IS NONTRANSFERABLE 'O 9 —i2 9.-8 9 9 5 z *1 o a0 J -
`0 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAt