1983, 07-28 Permit: 83A-7105 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY e'-R "-71aS
(/ NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO. ,w 1 •.. r
1. if:.ZL'.12 — l'fli+
LOT BLOCK SUBDIVISION LEGAL DESCRI''TION:
2.
OWN R PHONE PHONE
1..- -"N ('2GS5
3. / 4. 5 v 4 7
MAILING ADDRESS ZIP Actual Set Backs in Feet to: J ;
. 6.2 2 — 'i 7, q .1^G� North 'South [East I West
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential❑
BANNER FURNACE & FUEL, INC. -/"f 9 535 1711 Commercial❑
4• ADTE.K. BOX 4346 99202 ZIPType Const. Occupancy Sprinklered
t' U ❑Yes OW ❑Req a.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. -
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
s• No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7• OF ❑ OTHER
WORK 0 BLD. IDPLMB. El MECH. ❑ M.H. 0 POOL oorrVifi.ofe Exempt. Required Yes No❑ Number
Received Yes No❑
DESCRIBE WORK ��,�, Shorelines/Flood Hazard Plans Required❑
8. ZN11F�L,G C /�f l'3-/I ILILS� 6/95 AR/V.4e . Yes❑ Not Applic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9• UTILLIITIES PUBLIC❑ SEPTIC❑ Public❑Private❑
PRIVATE❑ 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 Building
work will be complied with whether specified herein or not.The granting of a permit does not presume to give au-
thority 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
SIGNATURE OF .� APPLICATION .7, g'
OWNER OR AGENT fez" -' DATE _ Mech. /f 0c
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
SEPA
Planning Modular/
MFG.Home Y
CL
Fire0 r
Prevent. Other(Specify)
W 5
Engineer
LL
Utilities /d!e0
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED ]] p
Building �, 7 IN 180 DAYS DATE'ISSUEE2 o -8 3 PERMIT*o1,0, 5 5 *1 8,0 01F-"L