1980, 12-16 Permit: 80B-4880 Furnace •
PLAN NUMBER APPLICATION/PERMIT PERMIT rNN MBE -1-5e0
SPOKANE COUNTY — BUILDING CODES DEPARTMENT LL//'��ll
ei
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOBADDRESS
i•
y' 4, / c , _ LEGAL DESCRIPTION — SEE ATTACHED 0 4 * * 9,0 0
LCK SUBDIVISION PARCEL NUMBER/S * 9 0 0
2. _ /
OT BLN
O
OWNER .� PHONE * 9' 0 v
3. 1\ o 1-. a,,, �- k.>.n lfk L c-4/A- z,-L q'i.:'`7,V 7 A 9 *0,0 0
ADDRESS ZI / Actual Set Backs in Feet 4 7. G
L�/ +� c),/ North (South East (West
CONTRACTOR �. w PHONE - Size of Parcel Zone Classification
')/,%-A '_P3 � �;ij 4/7 7 1 2 1 6-8 0
4' 6L-79,
ADDRESS ZIP Type Const. Occupancy Sprinklered z
jam' / G6 ❑Yes No E 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.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. ❑ A 'N. g RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. MECH. ❑ M.H. CIPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK <1.
f�' Enum. Dist. I Location (Area) FEES COLLECTED
8. - --/" ---''-'C' �{1 vcL Z -, ✓ ";.%4"'L-U' .----1!.
VALUATION SOURCE GAS ELECTRIC WATER SEWER
```/// Ownership USE CODE
OF
9. UTILITIES '0 J. (
7y ) 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 law regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
LLQ
t� � S 12to�JV J 1 j' q i
DATE OF APPLICATION /2""'V�Y SIGNATURE OF APPLICANT `__ _ '�fLi Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: ii
NAME DATE d.� Plan Check eN'
Env. Health .V _ /�4AA
Planning1 ,Qi SEPA — c"'
n_
O
U
Fire Marshall * Mobile Home
W
Co. Engineer i Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
2 ' :.4
Bw echni,an PERMIT IS NONTRANSFERABLE .:{ _ o —
, ,,,,,,. .}80 488,02 :449.'0,0T:1.2
�r J"- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W FINAL INSPECTION:
SET BACKS
MINNOW
DATE REMARKS: au cro cia4,-7
- 0 I C,••••••A" CADI (112:2,
••••• ••/•• •••
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mNUMElR----i APPLICATION/PERMIT /,,'/1,/� ,
SPOKANE COUNTY—,BUILDING CODES DEPARTMENT oEpDTRi +a�J /V l�
NORTH eft JEFFERSON/SPOKANE.wASHINOTON 8.2110/MOW 46831576 F�
APPLICANT: COMPLETE NUMBERED SPACES—PRESS HARD TO MAKE 3 COPIES •
e nooREu
rim----
I OI` c zs" ,,s.,.L"- LEGAL DESCRIPTION—SEE ATTACHED 0 4* *9.00
T L CR E OlvtelON J PARCEL NUMBERM
s eNp.ry1t K9.00
KP-2-..,uZ 6 .vs -ddte'L-�-LE. PHONE
7 A •9055
a ADDRESS
'1, 20.6
1 Actual Set Banks In Foot •000 a
• CONTR�q/Cto 32 O el North
I. I Zo^ ion 487.9Y
12-16-8.
A//OL(/ %�19'7S 111..a,P..° .Claxl,l�t12—I a-8."
• IP--5-0 57r25u.,1— :179206 TwpenR. I Occupancy anio er
DESIGNER
PHONE Valuation �vn ❑NP Sprinkler.
Reo'a.
Bondi.Area In Sy.Fl.
. ADDRESS
SIP Main Floor I UPPer Floors OeraM Arm I Stomas
CHANGE OF USE FROM ITO Mm of D«m I PInINW Bewment I Unlin.11exmoct
. T•PE ❑Naw ❑ALT. �❑/Aye ty rL ❑MV Ne.•an. I N IlP,ow.111w.
• « ❑iLD. ❑PLMe. IY InLCH. ❑M.H. ❑POOL ❑OTHERCERTIFICATE•Stmlx Rm'a.oI sR•c'E. ryof Rm'tl.WORn 1ID4CRISL WORKof EXEMPTION Lnum.Dlat, ILoullon IMmi VALUATION �{ yIwtMCrA�RyiFEES COLLECTEDIUTOURCEII RS GAS L ELECTRIC I WATER I SEWER OWn•raTIP US[COO[
PRBue t7 Prh.t•❑Mraby certify that I have road and eaammed this applicapon and have road the"NOTICE"prvinlont includod81.01•n revom side,and know the same to be true and correct,All provisions of laws and ordintances governing this
pe of work ill be complled.with whether,pacified herein or not,The granting of a permit does not presumeLvikhM give authority to violate or cancel the provisions of any other stare or local law Iegulitinil construction or theaAormance of construction.EEE REVERE!EIDE FOR REQUIRED IN PECTIO 8 PumeMP StP,,
ATE OF gPPLICAtION�� �U Moch 0
T�� SIIiNATURE OF APPLICANT �'EPEC1AL APPROVALS SPECIAL CONDITIONSI
NAME DATE1nv.Heelih5)..__QH Pan Chock .�iSEPAofr
MarshallMobil•Nom• erl
.Ermine* Otho ISP«IhlOJens Eeemine, TOTAL S ✓
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