1980, 10-09 Permit: 80B-1711 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
- SPOKANE COUNTY — BUILDING CODES DEPARTMENT n ec) 0 - 11 t I
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
* * 7, V U
JOB ADDRESS i� 4
1. V-r-J// //" ..- /s-- r'4" LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 7. 00
OWN ur.- PHONE
2ONE A * O. 0 0
3. /%0I4 %
-' � L.-1 Com -
`-1. 5' 2 r'//7(.
ADDRESSZIP Actual Set Backs in Feet 1 7 1. 0 L
,' 7.Z/ /�> 41G.;ZI.esLe North (South East 'West
CONT.RACTPR _... / PHONE Size of Parcel Zone Classification 1 U- U 9-8 0
4. A'L/e r' �t-'wwt/e,✓ lite'/f c7iig ,S ,-5 G��t,' -9 6 a 7 9
AD�DRESS / Zig Type Const. Occupancy Sprinklered
, �f'2 /Y/jc 6- L c� :0 I' ❑Yes ❑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.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 'NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7 WORK OF v❑l BLD. 0 PLMB. AYMECH. 0 M.H. 0 POOL 0 OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK .• - Enum.Gist. I Location (Area) T
FEES COLLECTED
8. Jet-1" 047,-- /1I,� e 4,e-Ate,/., / , ,ie c- I
VALUATION SOURCE ,/GAS ELOF �EJ�/T�tIC WATER SEWER Ownership USE CODE ,^•6,,.(7
9. UTILITIES v11 Public 0 Private 0 / Single $ J �^
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
1 may. -�
DATE OF APPLICATION `�- '-- r`7 SIGNATURE OF APPLICANT 66r.;', .---- i/ " <—1-il Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health ZG" /4.!'". ./11
SEPA
CD
Planning 1,
— t1J
Fire Marshall Mobile Home �y
Co. Engineer Other(Specify)
Utilities TOTAL $ f
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ding T' roan PERMIT IS NONTRANSFERABLE 1 •0 fi '9'�-��j �0' 1 7 11 z ft 7,0 0 °
��� ,�
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DAgE ISSUED PERMIT NO. TOTAL