HomeMy WebLinkAbout1980, 09-05 Permit: 80-9684 Furnace, Piping PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
dol SPOKANE COUNTY — BUILDING CODES DEPARTMENT Ah
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE ` r -
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADORES � // LEGAL DESCRIPTION - SEE ATTACHED " 4 * * 1 c. 0 0
V (4) J�.c t 1 2
1. �<l * 1{J o�
LOT BLO SU D VISION PARCEL NUMBER/S
2. * 1 2.008
OWNER 1 AIflONE E 0 ,� S3. (f)U .,0 .11QCt LF" 11
ADDRESS P Required Set Backs in Feet 9 6 3 3 f��ao V North (South 1East (West
CONTRACT: PHONE Size of Parcel Zone Classification 0 9- 0 5-8 0
NE--ak 40 ntli-COV-a:4116g (f- 4POV .
ADDRESS ZIP Type Const. Occupancy Sprinklered 6 9.
❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. c
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. RPL. 0 MVE.
7. OF 0 OTHER -
WORK IIIBLD. ❑ PLMB. TAisMECH. ❑ M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK , !
8. 4 ` l/I I C.L.0 i 7l?iti4 FEES COLLECTED
VALUATION �7 Sourc AS ELECTRIC WATER SEWER
of E�
9. Utilities
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 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 f con ruction. IA Plumbing
0
DATE SIGNATUREMech. l -12'Q"C:
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health go
itk(P.„e,„9,,A,T6.mkoLtst._. K
SEPA o
Planning iy
- 2
Mobile Home co
Fire Marshall z
Co. Engineer Other(Specify)
Utilities TOTAL $ re,Oct,
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist q THIS BECOMES A PERMIT. J� 1 (�
DATE I iS1 OFFICIAL u� � 0 9 L 0'51'� 8,U• n 6 8. 4 * 1 2, 0 0 4 I'
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APPROVED (,ISSUANCE