1982, 09-20 Permit: 82A-8385 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 3 COPIES
JOB A DDFOESS
72//—
LOT
BLOCK SUBDIVISION
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LEGAL
DEr:CRIPTION - SEE ATTACHED
PARCEL NUMBER/S
DESIGNER
5. ADDRESS
PHONE
CHANGE OF USE FROM
6.
TO
ZIP
Actual Set Backs in Feet
North
Size of Parcel
South
Type Const.
Occupancy
East West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation Building Area in Sq. Ft.
Main Floor I Upper Floors Garage Area
Storage
Area of Decks Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
❑ NEW 0 ALT. �❑/AD'N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
8.
9.
DE
VALUATION
SOURCE
OF
UTILITIES
ELE.> RIC
WATER
SEWER
Enum. Dist.
Ownership
Public ❑ Private ❑
Location (Area)
USE CODE
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 r:i.ulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Tec
iciarl \i
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
7
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
7 C.:
04* *1800
*18006
A *0.00 8
83842
09--20-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09-20-82
838.52 *1.8'00a�
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL