1981, 12-09 Permit: 81B-2581 Furnace PLAN NUMBER APPLICATION/PERMIT
�-y� PERMIT NUMBER
(((��� SPOKANE COUNTY — BUILDING CODES DEPARTMENT /,` ��`,
�� NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
`� APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
au
JOB ADDRESS 66' ,
�
1 Z' ? c� l� , /....1 `•° LEGAL DESCRIPTION - SEE ATTACHED
04 * * 1 4,00
LOT BL CK SUBDIVISION PARCEL NUMBER/S
2.
* 1 4,00 tii
OWNER PHONE * 1 4.0 Q 6
3.
ADD ZIP Actual Set Backs in Feet A * 0.0 0 V
�Ap s Le p t' North 'South East (West
COpi'FRACT'R / 97:1I‘ / P O E Size of Parcel Zone Classification 2 5 a0 z
4. � `� -^"^ ot-.. i - .1-1. L 1 2—0 9—8 1
AD ES .•� ��(�.,4� �� rat-44A4-4., ZIF'y, /y� Type Const. Occupancy Sprinklered
. F 3 v 7' rA.L.4 F_'t— 4..4/ / , c ❑Yes ❑No ❑ Req'd. 2 6 4 7 9.
DESIGNER 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.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE NEW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. 'MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DE CRIBS,WgRK Enum. Dist, Location (Area) r
4L/) .--9.)
L/) _.1(. A„}. t """7:04...$4.04.04.8.4
, I FEES COLLECTED
8. VALUATION
SOURCE GAS L� � m CTR' WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public El 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
DATE OF APPLICATION Z r SIGNATURE OF APPLICANT_ `•'• *.AA.1 Mech. d--.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health ,
SEPA
a.
Planning
CD
V
Fire Marshall Mobile Home J
LT-
Co.
Co. Engineer Other(Specify)
Utilities L1d„d
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildin• Te icia <- PERMIT IS NONTRANSFERABLE 1'2 �;.0.9) '-a'1 258. 1 Si * 11L002'. 1- - ” '
01111r PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
i