1984, 02-14 Permit: 84A-1203 Furnace(PLAIN NUMBER I APPLICATION/ PERMIT 1pt--Rml� umbLK ��
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
CHANGE OF USE FROM TO Area of Decks Finished Basement I Unfin. Basement
s.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE D& NEW El ALT. ❑ AD'N. 11 RPL. EJ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. KMECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership LUSE CODE
9. UTILITIES Public ❑Private OF Single $
1 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
`�DATE OF APPLICATION A— �/ 19 & � SIGNATURE OF APPLICANT,�&nft��� may,"`'` Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
eer
Utilities
Plans Examiner
Building
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Other (Specify)
TOTAL $ U- ^.Vo
04* *20.00
*20.00
A *0.00
120,2
02-14-84
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 2 `-1.4' `8' 4 1` 2 0:3 ,C5
DATE ISSUED PERMIT NO.
*20.00aFj:
TOTAL
0
C
C
T
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
PARCEL NUMBER/S
2.
I
ISUBDIVISION
OWNER
L`
ZIAAt D
PHONE
724 '• cl4 2f
3.
ADDRESS
Actual Set Backs in Feet
3 2 L
ZZIIP
L y 1-04
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
t S o
trl-T klit
2-2
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
1- i- F9»
f 5 J4 / VI / e— A
y 2-o t
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area In Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors I
Garage Area
I Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement I Unfin. Basement
s.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE D& NEW El ALT. ❑ AD'N. 11 RPL. EJ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. KMECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership LUSE CODE
9. UTILITIES Public ❑Private OF Single $
1 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
`�DATE OF APPLICATION A— �/ 19 & � SIGNATURE OF APPLICANT,�&nft��� may,"`'` Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
eer
Utilities
Plans Examiner
Building
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Other (Specify)
TOTAL $ U- ^.Vo
04* *20.00
*20.00
A *0.00
120,2
02-14-84
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 2 `-1.4' `8' 4 1` 2 0:3 ,C5
DATE ISSUED PERMIT NO.
*20.00aFj:
TOTAL
0
C
C
T