Loading...
1981, 05-20 Permit: 81A-4920 FurnacePLAN NUMBER - APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 • APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 1. 2. 3 4. JOB ADDRESS 'LO BLOCK SUBDrVISIOIV 14/ D R v F l= LEGAL DESCRIPTION - SEE ATTACHED OWNER -S4Y INV j;:Srn�►£NT ADDRESS :3$1'30 1A5T L?0:)/V =" PHONE � 776 ZI P PARCEL NUMBER/S Actual Set Backs in Feet North 'South tEast !West CONTRACTOR /v c, j-/ 2'j4 rJNG� C; o ADDRESS / r 1'? /y i DESIGNER 5. ADDRESS PHONE Size of Parcel ( Zone Classification ZIP y'y 2C Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. PHONE Valuation 1 Building Area in Sq. Ft. ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TYPE 7, OF WORK TO Area of Decks Finished Basement Unfin. Basement Dir NEW ❑ BLD. ❑ ALT. E PLMB. ❑ AD'N. ig MECH. ❑ RPL. ❑ M.H. E MVE. ❑ POOL ❑ OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. ESCRIBE WORK 8 pj VALUATION 9. .7 . r R 14/ .--.1,4,4- ' GAS ELECTRIC SOURCE OF UTILITIES Enum. Dist. ILocation (Area) WATER SEWER Ownership Public ❑ Private ❑ USE CODE 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 to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVERSESIDEFOR REQUIRED INSPECTION DATE OF APPLICATION / /'' p / SIGNATURE OF APPLICANT SPECIAL APPROVALS I SPECIAL CONDITIONS: NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Bui di�T chnici n , / PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing 7 Mech. M Plan Check SEPA Mobile Home Other (Specify) TOTAL $ j 4- eo PERMIT NUMBER Iv+ - 2 04* * 1 4.00 * 14.00 * 14006 A *0,00 491.92 05120-81 z 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 015-2a-8'1 DATE ISSUED PERMIT O.�O Z *14000 TAL