1980, 11-17 Permit: 80B-3810 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
V ciSPOKANE COUNTY - BUILDING CODES DEPARTMENT �' �-36
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 6` 463 ,./. .,/T/f LEGAL DESCRIPTION - SEE ATTACHED 0 4 * * 1 4.0 0
LOT BLOCK SUBDIVISION ' I'AICEL NUMBER/S * 1 4.0 0 U)
2.
OWNER PHONE * 1 4•O O 6
3. 17/9'66- / "4 6 UEecS00-d 926-eon A * 0 0 0 g
ADDRESS ZIP Actual Set Backs in Feet
e • /8325, eri"rn' WC)/4 North 'SouthEast 'West 3 8 0.9.=
CONTRACTOR PHONE Size of Parcel Zone Classification 1 1 - 1 7-8 0
4' ADDRESS ZIP Type Const. Occupancy Sprinklered o 6.4 7 9,
."./9197E- Oyes ❑No ❑ Req'd. G
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 VRPL. No.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. 0 AD'N. RPL. 0 MVE.
7, OF ,/ ❑ OTHER J
WORK 0 BLD. 0 PLMB. L'J MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
Enum. Dist. I Location (Area)
8.
f/2457,4aCG 5n s j=ii,e/f/4Ce- /2J a o o g7-- I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 Private 0
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 •
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 la -gulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTI• S Plumbing
DATE OF APPLICATION /A/C --- L�(9 SIGNATURE OF APPLICANT A. ilf,0 Mech. # 7d1•Cz-
SPECIAL APPROVALS SPECIAL CONDITIONS: /
NAME DATE Plan Check
Env. Health aliijgfL)45 c - C3/c- To 6-4-S
SEPA o_
Planning - 2
W
Fire Marshall Mobile Home u
Co. Engineer Other (Specify)
Utilities
TOTAL $ /4/,LAG
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ildi Technician PERMIT IS NONTRANSFERABLE 11'+17'-'8'0 3 8 10 °z *1 4i 0 0 2.F0
ajr/�� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL