1981, 08-27 Permit: 81A-8616 Furnace, Heat Pump PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT g' .0. (9 1(.40'
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
+ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
Jc 7 /4_ LEGAL DESCRIPTION — SEE ATTACHED1. ri x
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 1 * 1 `;, 0U .
3. .t A"e-� (.(/�Q.�.�t--ten G ,a c' o
ADDRESS
y ---) / L7,�4'p �jj Actual Set Backs in Feet `, '
! �, / Y' /c �CA / North [South East (West
CONTRACT R ` PH N ��X72 Size of Parcel Zone Classification
,�y9 0 ' -2' j -81
d.4 41-411‘ "Li'leS-. -4 2 6 ;-'-
4. ADORE ' / �• �1 ZIP �� Type Const. Occupancy Sprinklered �'4
3 6� lel ..-+0 ' Oyes ❑No 0 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.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW D ALT. ❑ AD'N. 0 RPL. 0 MVE.
7. OF OTHER
WORK ❑ BLD. 0 PLMB. MECH. 0 M.H. D POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
pg of EXEMPTION
DESCRI WORK �f n r ` kV
IX Enum. Dist. I Location (Area) r FEES COLLECTED
8. t -, Gt a_ -- -k. k-„f /t.in�y : - 1 r ccell I
VALUATItDN SOURCE GAS ELECTRIC WATER LL SEW R
OF Ownership USE CODE
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 gr. ting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or I rop law regulating construction or the
performance of construction. ` E REVERSE SIDE FOR REQUIRED INSP- ONS Plumbing
E i
/QU�
DATE OF APPLICATION AL SIGNATURE OF APP .,,/,44./ '� t. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n,
Planning
Fire Marshall Mobile Home --1
Co. Engineer Other(Specify)
Utilities 2
TOTAL $_��022
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE D'81-2 7:—8 l' 8 6 16 Z *190 0 a
6Ae, f PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL