1981, 09-10 Permit: 81A-9121 Furnace PLAN NUMBER APPLICATIC /PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 6(A - 712.1
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS '
1. /°l /K);a ���/Z� LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOOi.K SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE 0 4 * * 1 4.0 0
3. ,ec .. t.r
ti.� /.�C r ..,--"*10,..77"/r * 1 4.0 Q u
ADDeR,ESS ZIP Actual Set Backs in Feet
e---,,„01.--e_.e, North (SouthEast lest
* 1 4.0 0 6CONT Or ,�a� ,� �14' PHONE / Size of Parcel Zone Classification
4. <=. _, 1.1 fi t.'. me.' A * 0,0 0
ADDRE§S _ � ZIP Type Const. Occupancy Sprinklered 9 1 2.0 2
7 V ,7 /%,f- / 9cy�Vl// ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. 0 9— 1 0—8 1
5. ADDRESS ZIP Main Floor Upper Floors r Garage Area Storage 6 4 7 9, —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. P
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW D ALT. ❑ AD'N. 0 RPL. 0 MVE.
7. OF WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL ❑ OTHER -
CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION _
DESCRIBE WOR ��? i ' P/ v Enum.Dist. Location (Area)
8. :-r ( ./ i i