1979, 10-04 Permit: 79-5295 Furnace PLAN NUMBER * .
APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT "1 7T -52. 9S
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /0"-
44-71
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
04 * *7.00
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED *7,0 0 N
1. 44o W.-_ 24.147AUS *7.00
LOT BLOCK SUBDIVISION PARC€L NUMBER/S Y
2. r
OWNER PHONE B *Q 0 Q 8
3. RITA WHjrE- 92 ,-/1f52 529,4
ADDRESS ZIP Required Set Backs in Feet
41/03 a- 2ND AIDE qg2-06 North 'South East (West 10-04-79
CONTRACTOR PHONE Size of Parcel Zone Classification
Rai IS { E -INc 3z8-857' 2 6.479.
4' iZADDRESS ZIP Type Const. Occupancy Sprinklered
w. 516* Ha14LANP
"M2.,/,? ❑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. ,
No. Baths No. Floors No. Rooms Rec. Room
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. XvMECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
8.
D aer wor.X_ f =mac.,-rRt C FUR/SAcE_.
VALUATION Source GAS ELECTRIC WATER SEWER
of
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 o .,+ .',. ordinances governing this Building
type of work will be complied with whether specified herein or not. The .ranting , a pe it does not presume
to give authority to violate or cancel the provisions of any other s - ;•cal -•1"-ret• atint construction or the
performance of con ruction. /t - d G. Plumbing
DATE C) 5/79 7 SIGNATOR, �j- ' Mech. 7
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. c A4_1_, Fcip-- /r,t3PECTiON T7
-4 „ 4/ Plan Check
Env. Health w I7 f Y3La- /0 �
SEPA CD
ai
Planning —
,J
Mobile Home
Fire Marshall
Co. Engineer Other(Specify)
Utilities .p0
TOTAL $ 7 X/e
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS COME APE MIT. '7 ((�� (� O
DATE/0-11'7q OFFICIAL AD . at- rfLl �� - '- -' l _� * ?.U U tZ F
APPROVED FOR ISSUANCE —