1982, 06-10 PErmit: 82A-4776 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
elNORTH
SPOKANE COUNTY -BUILDING CODES DEPARTMENT 177�y 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS (..)
1 '� S - - . LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK - UBDIVISLSION PARCEL NUMBER/5 0 4 * * 1 4. 0 0
2. * 14.0 0 N
OWNE/tj', _"`—`� PHONE
3. Ii e—,,,,Q, * 1 4.0 0
ADDRE1 ZIP Actual Set Backs in Feet
A *0,00 ES
1 A / 9 /"� U
6/ D W, / 0y�"/ North 'South P Size of Parcel East (West
CO TO Zone Classification g.
_dl ' ' 477. 5
4. AD SSZIP Type Const. Occupancy Sprinklered 0 6 1 0-8 2
7174 G Oyes ❑No ElReq'd. g. 6,47 9.
DES NER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin, Basement
6.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
EW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
Q0CRBE_,WOR Enum. Dist. Location (Area) r
8./
//r/'/' * \41.J.-- Oft.) i�` FEES COLLECTED
VALUATION
SOURCE GAS ELE RI WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 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
r
�' /1 Q-4.—
7:
DATE OF APPLICATION y SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA d
Planning p
_ U
Fire Marshall Mobile Home J
w
Co. Engineer Other (Specify)
Utilities TOTAL $ �`
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildi echnici r PERMIT IS NONTRANSFERABLE '� ^!�,1i��'r ' '2� 47,7:6 z'* 1 4.0 0 a H,
��� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL