1981, 09-23 Permit: 81A-9692 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT c `C a(oGt
/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
...//
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS •-• -- LEVAL DESCRIPTION - SEE ATTACHED Q * * 1 6 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 1600
OWNER PHONE
3. g V/A/ GL.4'e92145.7,— A * 0 Q 0
ADDRESS ZIP �p/ Actual Set Backs in Feet 9 6 9. 1
7 /
9/C/ '-- / "� /�!J!� North 'SouthEast 'West
CONTRACTOR PHONE Size of Parcel Zone Classification Q 9._2 3-8 1
a. 73,A�/A/ T24-„1/9e'F_ A EG .zi✓V, ..�, s—/:>/,�
�D/p KESS.*7 _ c,/�1 I�/ �L� Z 9 Type Const. Occupancy Sprinklered 6fe G 7 9.
Y �-• /2 . //CL1EA/% / L”.jTX `Y3 CCZd.eZ
Oyes 0 N ❑ 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.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. .r RPL. ❑ MVE.
7, OFNr/MECH.
/ ❑ OTHER Req'd. Recd. Not Req'd.
WORK ❑ BLD. D PLMB. �S[MECH. 0 M.H. 0 POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK _ Enum.Dist. Location (Area)
8./.t/j r , Gr'n/i✓ 2)( et.20 -7Z ,/z.: i'c t//Je'`- 74eaoe,Q�r 1� 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 Building
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 regulating construction or the
`/performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 17'2/.- / SIGNATURE OF APPLICAN e. "ft's- Mech. /� `
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >'
0
Planning CDv
Mobile Home ""-a
Fire Marshall -j
u..
Co. Engineer Other(Specify) �y
Utilities
TOTAL $ /� '
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
! l '
Buil ing TechnicianPERMIT IS NONTRANSFERABLE 0 9 -i� 3='g 1
dJ
p ° I-
tt{ e- Cs,(..7--- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
J