1981, 03-09 Permit: 81A-2182 Furnace AN NUMBER 4APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 5M- - .2,109--
.
�, I NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
����V//// APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 47 Q
1. ,�, ifi 7 (..(1-0--t4 .._ . -+ LEGAL DESCRIPTION — SEE ATTACHED
* 7. 00 tri
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 7. 00
Ow P ON
3. �'�-w� h1. -� �- , I SSIJ� �! * C. 0 0
T
AD /ESySc/ s /(` ( t� ZIP Actual Set Backs in Feet 2 1 8 1
/ r ( 2c) / �'-'. 3`, - North (South East (West
CON RACTOR P ONE Size of Parcel Zone Classification 0 3— 0 9—8 1
n
.__%•.------.. c�t A). cis 4_,_„....,,__,_ _, 6 4 ? 9.
4' AD SS ZIP Type Const. Occupancy Sprinklered
^ • �'�L ❑Yes ❑No ❑ Req'd.
DE ER PHONE Valuation BuildingArea Ar a 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.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. ❑ RPL. ❑ MVE.
7. OF 0 OTHER
WORK 0 BLD. ❑ PLMB. J2Q MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DE&CRIBE WORK Enum. Dist. I Location (Area) '
8. _ �� p�4. _ j�-�, y
.� 'E� �-Cti I FEES COLLECTED
VALUATION S RCE GAS EL CTRIC WATER SEWER Ownership USE CODE
OF
9. U LITIES Public 0 Private D
Single $
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 not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION / SIGNATURE OF APPLICANT r� ` v,--6,..—...._ Mech. g
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA ,'
Planning ,
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTAL $ / .�
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
.ing `i.ian PERMIT IS NONTRANSFERABLE � 0 5i-04-8 1 21 &2 °z' *7.0 0 aLF. -
� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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