1981, 11-30 Permit: 81B-2223 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT lC/([ 87 ES Z 2' 2.3
& NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 0 * * 1 b 0 0
JOB ADDRESS
� O/ 3Rp AYE.. LEGAL DESCRIPTION — SEE ATTACHED * 1 6.0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 6 0 0 Y
2.
OWNER PHONE A * 0 0 C, s.
3. Je-RIZY I-4UCaHS `12.z- eBJtr
ADDRESS ZIP Actual Set Backs in Feet 2 C 2 2 c
'730 I E 3p_2 cii North 'SouthEast (West 1 1 —3 0—8 1
CONTRACTOR PHONE Size of Parcel Zone Classification
4. Jorir S IAEA—FA C� AND Ali R �-oN1P. `)I"if`/—515-9-`t 6 4 7 9.
ADDRESS ZIP Type Const. Occupancy Sprinklered
N. 3Z2. Re_ _y A./ CM ZO1 ❑Yes 0 N 0 Req'd.
DESIGNER PHONE 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.
TYPEL0 No. Baths No. Stories No. Rooms No. of Dwellings
EW 0 ALT. ❑ AD'N. RP . MVE.
7, OF „..,��// CIOTHER
WORK CIBLD. ❑ PLMB. A ECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8. c.i S Row CIE ill$ 41LA—rioN 621E LhC, l•Wic.nrr) I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 Private ❑
/ 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 of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
.� ---, • 6 x
DATE OF APPLICATION_ SIGNATURE OF APPLICANT �� a '1..2' -"' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: 7
NAME DATE 8L3 c 00 B-'TU
c 0.6,oa Plan Check
Env. Health 'E.)11%—n VCj PIPINIS, "VERP
SEPA 2
D
Planning c)
Mobile Home w
Fire Marshall -
� 4 Q !i
Co. Engineer Othe _
r I ecify) �0
Utilities Z00.
TOTAL $ �Cc AX
Plans Examiner •
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE2 2'2.3 z * 1 6. �'0 J -
11��=`3 6' 'a�'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL