1981, 10-22 Permit: 81B-995 Furnace PLAN NUMBER
APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY PUi!DING CODES DEPARTMENT ,
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED G * * 1 9.0 0
1. ,> �� LP 7 *
1 C0 m
LO BL CK SUBDIVISION PARCEL NUMBER/S
2. * 1 9.00
OWNER PHONE
iV it;;1\1-‹ 7.2. 6 0,*,i' A * 0 0 0 c`.,
3. jI./
.�
ADDi--ESS ZIP Actual Set Backs in Feet 9 9 (( _-.
D - I I `7 <-i-.)-2-2....0c.) North 'South East 'West
CON RA TORHONE Size of Parcel Zone Classification 1 0 2 2—8 1
Ni , SIU Nl `1' — 70
4' AD ESS I Z P Type Const. Occupancy Sprinklered 6`4 7 �'
E - I u Oc5 . SS Wa-0 6 ❑Yes ❑No 0 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
KNEW ❑ ALT. ❑ D'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK ❑ BLD. 0 PLMB. (���(( MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORKKI I n Enum.Dist. Location (Area) FEES COLLECTED
8. j `( 1KIVV
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 law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
•
DATE OF APPLICATION /072."2" 91 SIGNATURE OF APPLICANT d� ....mac Mech.Mech. ��
SPECIAL APPROVALS SPECIAL' CONDITIONS: \1
NAME DATE rI ll�,i\l/f� '1I v M �i ) Jr
7 t 0 Plan Check
Env. Health �'(1'`I"r /L�'
61A- h ri� i (ri ) C%c7 SEPA
1.
Planning 0{� p� i.-3
I Yr �'II
Fire10 ` Mobile Home '1
Marshall
Li:
Co. Engineer `9 Other(Specify)
Utilities I'
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
—
• Building • ni.a PERMIT IS NONTRANSFERABLE �'� 12—i81. 9 9'S z * 1 9. O,a�.
,' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL