1979, 07-27 Permit: 79-1127 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 4 COPIES
JOB ADDRESS
3rd AVENUE, E. 4311
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
OWNER
BLOCK
SUBDIVISION
FRANK MITCHELL
PHONE
534-8855
PARCEL NUMBER/S
ADDRESS
CONTRACTORa
me
SEARS-STANSBURY
4' ADDRESS
DESIGNER
5' ADDRESS
P-O.BOX 3707 TA
ZI P
Required Set Backs in Feet
North South East 'West
PHONE
489-1170
ZIP
99220
Size of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW
E BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
NC(d S
EC H:
❑ RPL.
E M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths No. Floors
CERTIFICATE Req'd.
of EXEMPTION
No. Rooms
Rec. Room
Rec'd.
Not Req'd.
DESCRIBE WORK
8.
VALUATION
9.
GAS FURNACE CHANGEOUT 75,000
Source
of
Utilities
GAS
XXXXX
ELECTRIC
WATER
SEWER
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.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE OFFICIAL
FEES COLLECTED
Single $
Building
Plumbing
Mech. gas
Plan Check
SEPA
Mobile Home
Other (Specify)
9.00
TOTAL $ 9'00
PERMIT NUMBER
7 y � /i,-,2 7
DATE July 26, 1979
p4* *9.00
* 9.00 IT)
* 9.006
B *0.00
11262
07-27-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THISd,COI�(I?.S A PEARMIT.
11275'
0*9.
APPROVED FOR ISSUANCE —