1982, 06-08 Permit: 82A-4674 Furnace 'PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
�.V�4I� IT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
/UI / APPLICANT: COMPLETE NUMBERED SPACES c PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
r / lf7 LEGAL DESCRIPTION — SEE ATTACHED
LO BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWN PHONE 0 4 * * 1 6. 0 0
3
£ i— vX- 9,18-1/9 6 V 6 0 o
ADDR ZI�j Actual Set Backs in Feet
/�G 6 �� 7:4 `� 9�L� North 'South East 'West * 1 6 0 0
CON CTOR PHONE Size of Parcel Zone Classification
ZAW'.4/07e A * 000
4. RE S / Z/I�pL� Type Const. Occupancy Sprinklered
ADD
`? 3 G O 3. C�=//-7 .... / . .2O Oyes ❑No ❑ Req'd. C. 6 Z 3 z
DESIGNER PHONE Valuation Building Area in Sq. Ft. 0 6—0 8—8 2
5. :f ZIP Main Floor Upper Floors Garage Area Storage ar 6 4 7 �, _
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. 0 A N. 0 RPL. ❑ MVE.
7. OF 0 OTHER
WORK 0 BLD. 0 PLMB. MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION ,.
8 DE
WORKa�,- ' J / vv ..e.j Enum.Dist. I
Location (Area)�x1_`�'_ .(y FEES COLLECTED
VALUATIO SOURCE GAS/ ELECTRIC WATER SEWER Ownership USE CODE
OF
lam/
9. UTILITIES Public ❑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
INSPECTIONSl/ Plumbing
vyr T .,LI44,--, /(%O
. co
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS: so0:20 LZj-
- rci
NAME DATE V Plan Check
Env. Health
SEPA }'
0..
0
Planning (..)
Mobile Home 1.1
Fire Marshall J
Co. Engineer Other(Specify)
Utilities CO
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Builth Tech ' o f PERMIT IS NONTRANSFERABLE 0.6 -1.0 8--8 2 4 6 7 4 5 * 16. 0 0 2
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL