1980, 11-06 Permit: 80B-3331 Furnace PLAN NUMBER $' APPLICATION/PERMIT /7 S-0
NUMBER
,� SPOKANE COUNTY - BUILDING CODES DEPARTMENT I /3 —33,3/
/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS •t, i LEGAL DESCRIPTION - SEE ATTACHED
0 4 * * 1 2 0 0
.�� * 1200 ro-
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 1 2. 00
DNE
3.
OWE
" "„t b ' � ,,,,,,r, ✓'./ / /�l A z * o C!
AD RESS ZIP
q/ �[� �//� G Actual Set Backs in Feet
'-' 3 (i<=
h /AI V N North 'South East West 1 I —0 6 8 G
CO TRACTOR PHONE Size of Parcel Zone Classification(
a. ov e-- d.o f l e a r ---,A yyy 33 Y -`/y7, 6.4 i 9
ADCl(2ES �,! (/ ZI Type Const. Occupancy Sprinklered
o 5 / <� q2,5 ❑Yes ❑No ❑ 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.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. ❑ AD'N. RPL. ❑ MVE.
7, OF 0 OTHER
WORK ❑ BLD. 0 PLMB. ❑ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
8 D CRIBE RK - Enum. Dist. I Location (Area) t
fL' ) FEES COLLECTED
I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF j// Public 0 Private ❑
9. UTILITIESSingle $
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 -
/ / as
Ar DATE OF APPLICATION I/ `66 SIGNATURE OF APPLICANT Mech. J
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE 700/ air, Plan Check
Env. Health
' f SEPA •n
Planning / " ..--jLC/4 /�"-`- "2--E_> / _ ca
1V\ '
. Mobile Home w
Fire Marshall � �� I � --
ti
Co. Engineer /? Other(Specify)
Utilities F S.-0
TOTAL $ /
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ''din Teghnicia PERMIT IS NONTRANSFERABLE ..r: 3;3 z �'2'O'� a.FJ
"-.k) o'2d/ L'L �� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE ' DATE'ISSUED y PERMIT NO. TOTAL