1979, 11-06 Permit: 79-7346 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
/1 - 1q — —1 3`1&
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 4 * * 7.0 0
1 JOB A /E"3 .) i'7 J7L .,--. L 3AL DESCRIPTION - SEE ATTACHED * 7.0 0
LOT BLOCK SU DIVISION PARCEL NUMBER/S 7 3 4,5 g
2. OWNS / ) PHONE��f _ 1 1 —06-79
cit;) i '—
d76 /
3' � ZIP Required Set Backs in Feet 2 6 4 7 9,
ADDR' il )
(`�"J North (South [East West
C TRACTOR PHONE Size of Parcel Zone Classification
Zet
4. A.�RESS !' ¢ ZIPType Const. Occupancy Sprinklered
G C-GC,-a--L Cif & 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.
,_,s/ No.Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW li ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. El PLMB. VMECH: CI M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK FEES COLLECTED
8.
VALUATION Source GAS ELECTRIC WATER SEWER
of V E r7�/�
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
Plumbing
performance of construction.
// / It/ j'a_
DATE / - / SIGNATURE � _ e.,..ii.04,4_, Mech. 74x.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
C14��,`C our O c L- r ��
Env.Health c
�L TC4_ . SEPA 5
j,CjGG l/�',iu , — uJ
Planning 0
LI� l 1 pJ 6 • Mobile Home z_
Fire Marshall 1
Co. Engineer Other(Specify)
Utilities °
TOTAL $ /o 0
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT. 1-2
DATE OFFICIAL 1 1 1—0 6•— 7 9 ' > 4 6 z 4,7, 0.0 a
APPROVED FOR ISSUANCE —