1983, 08-24 Permit: 83A-8210 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY A- .6 ,,l 0
NORTH 811 JEFFERSON /SPOKANE,W4SHINGTON 99260/(509)456-3675
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APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. t.; - /A0/¢
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. •
OV�N RPHONE PHONE
3. MAILING ADDRESS ZI Actual Set Backs in Feet to: -
L - l a(. /14 ._ stip: q1,2 6(t' North I South East I West
CONT ACTOR, LICENS XPIRES PIjONE Size of Parcel Zone Classification Residential❑ li 4 * * 1400
,
4. y}t (At X. 7 t, 9 _7 , /-2 s21je, Commercial❑
ADDRE 1` P 1� / Type Const. Occupancy Sprinklered * 1 4.0 0 c,
/ lir r .tet-y,A._ _ r L jc3�[ �. ❑Yes ❑No ❑Req'd.
0 ca
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area A * 0 �'
5. „ 820. 9
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
OF -24-83
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6. 6. 4 7 9.
No.Baths No.Floors No.Fin.Rooms No.Dwellings 11
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. I MECH. ❑ M.H. ❑ POOL wVariance empt. Required Yes No❑ Number
/VILLA__ Received Yes❑ No
DESCRIB OR Shorelines/Flood Hazard Plans Required❑
8. n��1 - Yes❑ Not Applic.❑ Received ❑
VALUATION SOURCEOS ELECTRIC PUBLIC WATER SEPT SEPTIC Ownership FEES COLLECTED
9. UTILITIES PRIVATE❑ SEWER❑ Public❑Private❑
- 1
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
Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority 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
SIGNATURE OF sAPPLICATION r f
)4Any Mech. it.(;0
OWNER OR AGENT C. : DATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health s
SEPA .
Planning Modular/
MFG.Home >- ,'
Fire fa..
Prevent. O
Engineer Other(Specify) W
9 —I
Utilities r LL
TOTAL $ 1 61?)
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Budding // IN 180 DAYS nU 8 2 4 8 3 QL 0 * O
Tech. ���, / DATE ISSUED PERMIT NO? O z 14 0 CTm7FA L