1980, 03-24 Permit: G-80-2573 FurnacePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
�• East 12204 18th. Avenue 99206
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
Jamez Bounefzi.4
PHONE
PARCEL NUMBER/S
ADDRESS
FaAt 19904 - 18th Avenue
CONTRACTOR
4 Powen-s, Inconpona.ted
ADDRESS
Ea4t 6507 Ma2Uon Avenue
ZI P
99906
Required Set Backs in Feet
North (South East (West
PHONE
535-7714
Size of Parcel
Zone Classification
ZIP
99206
Type Const.
Occupancy
Sprinklered
Elves ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area
Garage Area Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
MECH.
RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Re�.eace o�.t junnace with Cannien
VALUATION Source GAS
of
9. Utilities
Ga4 Funna e 58GS-12 -301
ELECTRIC WATER SEWER
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
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.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
1" be.aclz pipe - 35 beet
DATE8'1.1'!':7✓OFFICIAL
n nnnnvrn rnn inns 1 A nInr
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
8.00
Piping hpcify) 3.00
PenmJt 3.00
TOTAL $ 14_00
PERMIT NUMBER
DATE Manch 21, 1980
04,k * 1 4.00
* 1 4,00 N
* 1 4,006
E *0,00 8
257.28
03-24-80
g 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.25�' z *14,002
0`3-.2 4-`8 0
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