1983, 04-01 Permit: 83A-2520 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
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SPOKANE COUNTY — BUILDING CODES DEPARTMENT ��1211\ 2 52-C3/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675l APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRES�/S;,- LEGA DESCRIPTION — SEE ATTACHED
1. LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWN • r PRONE _
1 J ' lin 420<5��.., Actual Set Backs in Feet
3 Ap RESS ZI
J tb-,,,i, � � North (SouthEast (WestCO TRACTOR P NE7G� Size of Parcel Zone Classification G (( * * 1 7,0 0
4. ESS -- /Zj'P Type Const. Occupancy Sprinklered • * 1 7,0 0 6
[�/'/— ,20 ` . r� ❑Yes ❑No ❑ Req'd. v
DESIGNER PHONE Valuation Building Area in Sq. Ft. R * 0.0 0 v
251.42
5 ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
0.4-01 -83
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement [ /' 7 n,
6. 6 4 7
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE
❑ NEW ❑ ALT. ❑ AD'N. L. ❑ MVE. `
7. OF ❑ OTHERReq'd. Recd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. 0 MECH. ❑ M.H. 0 POOL CERTIFICATE -',
it:
of EXEMPTION :• .L
DESCRIBE WO Enum. Dist. I Location (Area) r
8 � /t I FEES COLLECTED
Ll�! ' 6- G C� 7/L�k . I
VALUATION SOURCE CJ GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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
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 I:w regulating construction or the
performance of constro SEE REVERSE SIDE FOR REQUIRED INSPECT' ANS / Plumbing
DATE OF APPLICATION 4 _ ! SIGNATURE OF APPLICAI - `I/frod�6/ " Mech. /1
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA a
Planning LI
O
— LA
Mobile Home
Fire Marshall Uy
Co. Engineer Other (Specify)
Utilities TOTAL $ /761)
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
4
,.`e roany PERMIT IS NONTRANSFERABLE 04 " 0 }:-$ 3 2;52ti,0'o' *1!7, OOaJ�,
-
10!ii PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL