1979, 07-19 Permit: 79-775 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT `-7
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE July 19, 1979
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES p 4 * * 7.0 0
JOB ADDRESS
1. 12th AVENUE, E. 13116 LEGAL DESCRIPTION — SEE ATTACHED *7.0 0 -
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 7.0 0 v
2. 2 1 Sherwin Addition A
OWNER PHONE * 0 0 0 O
3. DELTA COMPANY _928-1514 7 7,4 2
ADDRESS ZIP Required Set Backs in Feet
E. 11123 30th 99206 North (South East (west 07- 1 9—7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
COMFORT HEATING & A/C 928-1444 2 6479,
4. ADDRESS ZIP • Type Const. Occupancy Sprinklered
S. 3011 Bowdish 99206 ❑Yes ❑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.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER Req'd. Recd. Not Req'd.
WORK
1=1 BLD. ❑ PLMB. C1 MECH: ❑ M.H. ❑ POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK
8. Electric Furnace FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of XXXX
9. 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
performance of construction. Plumbing
DATE SIGNATURE Mech. 7.00
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
c
SEPA o
Planning U
Lu
— o_
Fire Marshall Mobile Home ✓>
Z
Co. Engineer Other (Specify)
Utilities 7.00
TOTAL $
Zone Clearance
_ A ' WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist �^ THIS0B7COMnS A7 n MIT 77' 5o * 7, 00a _,DAT
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APPRO FOR ISSUANCE