1980, 10-08 Permit: 80B-1645 Furnace PLAN NUMBER _ PERMIT NUMBER
P
APPLICATION/PERMIT r � � _ ‘;SPOKANE COUNTY — BUILDING CODES DEPARTMENT 11 I C
elI / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
�✓ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS f t t, LEGAL DESCRIPTION — SEE ATTACHED
1. c`_ . (.c, .. (-, )D Ivry ,, 7. 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * ? Our
OWNER PHONE A * r ;, -, c?
ADDRESS , ZIP Actual Set Backs in Feet 1 6 4 6
- 1) % C) t.& -r)(i ,ci_ LL North (South East (West 0
d c4
CONTRACTOR HONE Size of Parcel Zone Classification
4. C�S� �t-�--L-�^-i i�_ . 4 2s-\3 2 6 6 7 9,
ADDRESS ZIP Type Const. Occupancy Sprinklered
, 30 C\ q1 S L�({\, Valuation Building DNoin D Req'd.
DESIGNER PHONE
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 ANEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER -
WORK
0 BLD. 0 PLMB. 121,MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE W• : . , L...tia,-.�I: Enum.Dist. Location (Area)
8. lf> Zg�a ``_ i.si FEES COLLECTED
11.44
VALUATIO SOURCE GAS ELECTRIC WATER, SEWER Ownership USE CODE
OF
9. UTILITIES Public D 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 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
4-t t*')". -7.e.)
DATE OF APPLICATION lb-1 —5s-soSIGNATURE OF APPLICANT / Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >
Planning p
U
Mobile Home '�
Fire Marshall —7
Co. Engineer Other(Specify)
Utilities TOTAL $ 4042
7,o
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
wilding niciar�. PERMIT IS NONTRANSFERABLE 1 0 �'.O ,..— 81' 1 6 4.5'5 *7, 0 0 n Ej
� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL