1979, 09-28 Permit: 79-4954 Furnace t
I
•PLAN NUMBER APPLICATION/PERMIT fbPERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 7c7 ' `
t NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 67 — - 79
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
04 * * 1 8.00
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED * 1 8 0 0 rn
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 8 0 0 8
2.
OWNER PHONE E * 0 0 0 8
3. gir/eRe// Gl4 //e4.41 5 5W--/3' '.,Z, 495.48
ADDRESS ZIP Required Set Backs in Feet
Y i e/z, �� .5, 44/-e 4.-/a5'7 /6 North 'South East (West 0 9-2 8-7 9
CO TRACTOR ✓ PHONE Size of Parcel Zone Classification
Y/14)uR /. $r //'Mice, tt-c. !,t',/oZ) g 6,479.
4' ADDRESS /! ' / ZIP// Type Const. Occupancy Sprinklered
/07/v /�/t/ d.2i,t ;0()Ae,eC',LY� r7Z/b ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area I Basement Area Garage Area Storage -
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
r i ..- FEES COLLECTED
8. //A45 amu/ /..3q eve/c/ /c/ /%Q 11-'44,r k /-4 IT.vke t e�`? lc' ...Seeiir' `4 7 ,,a,-,�//'�e',(.
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
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. - Plumbing
DATE 7- S - 2/ SIGNATURE / /II. ' �i ��� Mech. 3, el0
SPECIAL APPROVALS SPECIAL CONDITIONS: � p/lp/4.-/`1 3 co cl
DEPT. REQ'D. RECD. mss/ / 1/� h Plan Check �i
Env. Health /!'!f�i C f7 �JG✓ C�L7C/ /�.� /t/,�+Ls'( � yF 0 0
' ua.v+rtCE I!' D ,
J, Sat-, G' f �J .��F if SEPA I-
/ KE ,0
Planning ,/ ilLG�I/�e4.., f/ "'`1 - tu
/.� � ., / /111r CJ_
:J_
Mobile Home
Fire Marshall I ji -
qq /f� .
Co. Engineer J t/ Other (Specify)
Utilities c
TOTAL $ /3-,6�i
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist 51-
j �^7 ,� THIS BECOMES AP7E(R�MIT. Y.
DATE % - ,meg-7X9 _20 _ /,7 95. ' * 18, 000
((�� 7
APPROVED FOR ISSUANCE -