1982, 05-18 Permit: 82A-3879 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
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SPOKANE COUNTY — BUILDING CODES DEPARTMENT
82N.A5 — 38 7/-
• /� NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
• J��f APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 0 4 * * 1 9,0 0
JOB ADDRESS T LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 9.0 O
2.
OWNER PHONE F * C 0 - E
3. �/rte cm/ i-y/ 9 -- 67i;,/
ADDRESS ZIP Actual Set Backs in Feet 3 8 7. 8 ='
5A%Us(9k L,4iV Cf 9a,ok, North 'South East 'West 0 5- 1 8-8 2
CONTRACTOR , PHONE Size of Parcel Zone Classification
4. ii OA) S ��i4T/,VE ql 4-4/C-1 . cN4—och,, n .1t7 9.
ADDRESS �M ZIP Type Const. Occupancy Sprinklered
(��
. n a 7/S--. MRAs 'l��Q (nat., i ❑Yes No ❑ 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 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER
WORK 0 BLD. 0 PLMB. ,! MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK �9 n. �J Enum. Dist. I Location (Area) 1
8. Ai/Ftti a0 K tic) Faelt 'iT-e— ) taA) Ft/C' k P ..“._� ,,;--c 4Zd FEES COLLECTED
I
VALUATION SOURCE GAS ELECT )2 WATER SEWER Ownership USE CODE
OF
9. UTILITIES V/ 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 INSPECTIONS Plumbing
- ?'
5,4DATE OF APPLICATION � 7/6 .---
— � .._ 1� SIGNATURE OF APPLICANT , , '� E/v Mech.
SPECIAL APPROVALS ///SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
'PC,e M I T /0 . (-71) SEPA
0
Planning
Fire Marshall I�� IT ! ' s—0Mobile Home
-_
Li
Co. Engineer /g. Cf0A)C• Other(Specify)
Utilities
TOTAL $ /p
/'
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
+
`-EA�j1 Tec 1
n s. PERMIT IS NONTRANSFERABLE 05 '—; 8:-8 2 j 8 7,9 z *19, 0 0 °
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL