1981, 09-17 Permit: 81A-9485 Furnace PLAN.NU 2ER APPLICATION/PERMIT •
#10173 C9091
SPERMIT NUMBER
0 `A
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
94455
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
East East 10615 11th Avenue LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 04 * * 16. 00
OWNER PHONE
3 Servco Enterprises, Ltd. 489 5952 * 1 6. 0 0 i
ADDRESS ZIP Actual Set Backs in Feet * 1 6 0 0
North 730 Columbus 99202 North (South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification A * 0, 0 O '3
:u>4m 1HPati ng, Tnc. 325 45b5 9 4 8. 4 2
ADDRESS ZIP Type Const. Occupancy Sprinklered
:ast 204 Indiana 99207 Elves ❑No 0 Req'd. 0 9- 1 7-8 1
DESIGNER PHONE Valuation Building Area in Sq. Ft.
g 6479.
5' ADDRESS ZIP Main Floor Upper Floors ( Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. L.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. [kAD'N. ❑ RPL. ❑ MVE.
7, OF El OTHER
WORK ❑ BLD. ❑ PLMB. IE MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORKI
Enum. Dist. I Location (Area) '
8. Install gas furnace 7-S;UC )j0 FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public El 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
10
September 15, 198 ' %` �I 0
DATE OF APPLICATION P --SIGNATURE OF APPLICANT `�'- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: llama+ r+`+ vw
NAME DATE
Plan Check
•
Env. Health (ket LZC C i�
l�zr
SEPA n.
Planning (__)
Mobile Home -1
Fire Marshall �.,
Co. Engineer Other(Specify)
Utilities 14 00
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
i _,
:WI. -e Tec ici:n\ PERMIT IS NONTRANSFERABLE 0 9?"I 7-I—‘8 !1 9 4 8.5 Z *1 6 0 0 a H
�+ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED • PERMIT NO. TOTAL ,