1980, 11-17 Permit: 80B-3852 Furnace PLAN NUMBER APPLICATION/PERMIT iIERMIT NUMBER
if ° _ 3-1'2
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
eJ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGALDESCRIPTION — SEEATTACHED u,i4 ^ 4 is * 0r'LOT BLOCK SUBDIION PARCEL NUMBER/S j 0 3
2.
OWNER PHONE * 7. 0 0
3. rt) L 6G .L f, o Fr
ADD ESS nZIP Actual Set Backs in Feet
7 v I,t North 'South East 'West 3 5 1 �'.
CONTRACTOR ,� P ONE Size of Parcel Zone Classification
VRut. ` -� , II 61 6.01•1061\1-� �(o ff 1 1x- i 7-80
4.
ADDRESS
I�� Ifs j �n ZIP `' 7 Type Const. Occupancy Sprinklered o 6 (F 7 9
3 //®2 "i / fS ``( R(7 t 4)`f /- Oyes 0N 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. o
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE �,/ No.Baths No. Stories No. Rooms No. of Dwellings
U7 NEW 0 ALT. ❑ D'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER
WORK 0 BLD. ❑ PLMB. Ki MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK ,/ fO� Enum. Dist. I Location (Area)
8 V+ ,(14C IC �G6 ,�,(yE1/ iVl G FEES COLLECTED
VALUATION
SOURCE GAS LECTRIC 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
,4749
DATE OF APPLICATION 11 SIGNATURE OF APPLICANT .s. v.��. I Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: •.
NAME DATE Plan Check
Env. Health
SEPA >-
c)-
Planning
aPlanning v
Mobile Home W.J
Fire Marshall
Li:
Co. Engineer Other (Specify)
utilities 0
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ilding Technician PERMIT IS NONTRANSFERABLE ' ,1:'ll•h.1'7:-'8 '�' l
r 3'8 . *7,9 �L�
�� >i PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO.