1979, 10-26 Permit: 79-6778 Oil Burner PLAN NUMBER APPLICATION/PERMIT /�' PERMIT
NUMBER 7
SPOKANE COUNTY - BUILDING CODES DEPARTMENT (� //
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /0-�/ `t>>++
et
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES f�
JOB AD KESS 0 4 * * 9.0 0
1 P 3O , ( T21LEGA4.-DE;4RIPTION - SEE ATTACHED * 9.0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
* 9.00ci
OWNS HONE .� E * C100 E
3. - Cc_-_)E G _ 924-1413
ADDRESS ZIP Required Set Backs in Feet 6 7 1,72
;CI EJ North 'SouthEast 'West 1 0-2 6-7 9
CONTR TOR �r � PH•NE Size of Parcel Zone Classification
4. ifia ,, ,p'Nks, ' ate-4c76 2 6479,
ADDRESS ZIP Type Const. Occupancy Sprinklered
'v ^7..J...7l.J3 l f24- '11...ixil.- Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
TYPE ,/ No.Baths No. Floors No. Rooms Rec. Room
❑ NEW LJ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OFElOTHER Req'd. Recd. Not Req'd.
WORK
III BLD. El PLMB. MECH: El M.H. CI POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK
8. I IJ`� I I f e,u C, 1 c bQ S vow FEES COLLECTED
VALUATLON Source GAS ELECTRIC WATER SEWER
of
9. 0 l t , 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
Plumbing
performance of construction.
DATE to^-4-�c/ SIGNATURE_ f1/1 ��`'�� Mech. ,,00
SPECIAL APPROVALS SPECIAL CONDI NS:
DEPT. REQ'D. REC'D. '// Plan Check
Env.Health IOC)M r} �� ,-
ry SEPA 'rD
Planning w
- n
Mobile Home n
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist 1 ^ THIS1 O At.RMIT. p-7 7, 8
* 9. 0 0 °
DATE/, 779-OFF �'l46P A
_
APP FOR ISSUANCE