1980, 12-19 Permit: 80B-5080 Furnace PLAN NUMBER APPLICATION/PERMITAi) PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT I�,�a 0 t , SOB 0s6r-
/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
�`J/ APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 04 * * 1200
F.
LEGAL DESCRIPTION - SEE ATTACHED
i. ez i ,�, * 1 200 V)
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
* 12006
2.
OWNER PHONE A * 0 0 0 S
3 C~�� X
ADDRESS ZIp Actual Set Backs in Feet 5 0 7.9
s,R,.A,,7C, North 'South East West 1 2 1 9-8 0
CONTRACTOR 1/ PHONE Size of Parcel Zone Classification
4. �7ev e1 a,i, O 5Z -��� Type Const . Occupancy Sprinklered 4 7 9,
ADDRESS
/ '2 T t /V Iv Li ❑Yes ❑No El Req'd.
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 or4NEW ❑ ALT. ❑ AD'N. ❑ RPL. D MVE.
7. OF r MECH. 0 OTHER
p
❑ BLD. 0 PLMB. CERTIFICATE - Req'd. Recd. Not Req'd.
WORK ' El M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK, /s �,. Enum. Dist. I Location (Area) FEES COLLECTED
8. �r A !///`4. 4 .,c Att.ov 4 e I
VALUATION SOURCE AS ELECTRIC WATER SEWER Ownership USE CODE
OF Public CI Private El9, 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.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
/ �
DATE OF APPLICATION / / 7 /� e"SIGNATURE OF APPLICANT �� L/1°/: 4. %. Mech. -4 12.cozy
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE e,,v l 4VC, "1 /`/ Plan Check
Env. Health
SEPA a
0
Planning
` I � _� Mobile Home w
Fire Marshall
LL.
Co. Engineer Other(Specify) /
Utilities / r
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 1.2st 1,9 718 V 5 0 8,01 *110 6 a.H
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL