1981, 04-09 Permit: 81A-3286 Furnace PLAN NUMBER APPLICATION/PERMIT ,/ PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT / SIA-3 C..."/
. ! NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
/ APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. J �, �� / � � LEGAL DESCRIPTION - SEE ATTACHED C 4 * * 1 4.0 G
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 1100 r
OWNER PHONE j G 8 5`
3. . '//14, /340..5.e". ( G c ) 9v.,R --.15-1&V
ADDRESS '^f IP Actual Set Backs in Feet 0 4-0 9-8 1
P• ? . Bo ' /35.2a 77;213 North 'SouthEast (West = 6 4 7 9,
CONTRACTOR - PHONE Size of Parcel Zone Classification
4. 0/ .SO/LJ/S ,STC �' A/c . 9:0-076-0
ADDRESS
�f �JA,a I /► ZIP Type Const. Occupancy Sprinklered
77 /`.°.,)y /�"J/1/L/Sf«'LN' 9/.2o 4" Oyes ❑No D Req'd. ,
DESIGNER HONE Valuation Building Area 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.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER
WORK
0 BLD. 0 PLMB. IMECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) '
$ ,„:73 X 6�-e�R I G P4 4'4/ k Oae�-weak' I
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public El Private 0 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 7/3// a 1 SIGNATURE OF APPLICANT.
Mech. H.. co
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
1. /O, t SEPA n
Planning r1
Fire Marshall 23 k C leer!1C.. Mobile Home
f tAn.,.. . 9 S O
Co. Engineer y Other (Specify)j�
Utilities -#/y, `'O YE
TOTAL $//VEL`D
Plans Examiner `4
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
. +
Bu'ding T niciiaan . PERMIT IS NONTRANSFERABLE ,x'41 0191711 3 2 8.•6'Z *l 4 0..0.°a 172.( PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL