1981, 12-09 Permit: 81B-2583 Furnace 1
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 6115 - A.Io'3
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
, 1!...i
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
4.
1 JOB ADDRESS ,,. C / "�"'�l
,.`[J_ (�1. vow LEGAL DESCRIPTION - SEE ATTACHED
' LOT BLOCK SUBDIVISION PARCEL NUMBER/S 4 * * 1 4,O
2.
* 14.00 cii
OW R PHONE
r * 1 4 D D v
3. >L.l J.Jv4
AD■- SSZIP Actual Set Backs in Feet A * 0. 0 0 3
/up �4r / d�" f.. North 'South East (West
CONTR•CTOR oriONE Size of Parcel Zone Classification 2 5 82
12-09-81
A RE r ZI Type Const. Occupancy Sprinklered 6
6 ' Y.�j o 7 ,, _ ' Ap 17 ❑Yes ❑No ❑ Req'd. 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.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF 0 OTHER
WORK
0 BLD. 0 PLMB. MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
6...„... ),, 4of EXEMPTION
gESCR{BSE W012K �, ....4)..)._,A.L.4...,.. Enum. Dist. I Location (Area) FEES COLLECTED
8. VALUATION SOURCE GAS EyEC'TRI WATER SEWER Ownership USE CODE
OF Public ❑Private ❑
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 SIGNATURE OF APPLICANT Mech. t
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA 0-
0
Planning U
Fire Marshall Mobile Home
u_
Co. Engineer Other (Specify)
Utilities
TOTAL $ i'
'w
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
s '
ec -an PERMIT IS NONTRANSFERABLE 12 -'0-11 2 5-8.3 z *1 4, 0 0
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL