1983, 03-15 Permit: 83A-1851 Furnace PLAN NUMBER 711 APPLICATION/PERMIT S 3al.s PERMIT NUMBER
} "SPOKANE COUNTY - BUILDING CODES DEPARTMENT KEYED " ! 5
/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
// APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
c 6 �� LEGAL DESCRIPTION — SEE ATTACHED
1 t _ CI \
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNS PHONE (1(y * * 1 L!. 0 0
3. �� �L ^_. * 14006
ADDRE I ZIP Actual Set Backs in Feet
u4 1 ' l`j
--, iv(,t.1.,..h, North 'SouthEast (West A * 0 0 0 00
CONTRACTOR PHONE Size of Parcel Zone Classification
ADDRESS ZIP Type Const. Occupancy Sprinklered t) J- 1 5_ 3
0 -1-- N Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. s 6 (.(7 9,
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
El NEW ❑ ALT. 0 AD'N. ❑ RPL. 0 MVE.
7. OF 0 OTHER .Req'd. Recd. Not Req'd.
WORK ❑ BLD. CI PLMB. 0 MECH. 0 M.H. CI POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8 FEES COLLECTED
VALUATION
SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑Private ❑
9. 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. Al[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 INSPECT'P S Plumbing -
G . p
DATE OF APPLICATION ( ( �O SIGNATURE OF APPLICANT 4 `tea
k ech.
w — —..)
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health -. --L-�-
\\\ /� SEPA >
Planning C p
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Fire Marshall Mobile Home w
J
LL
Co. Engineer - - Other (Specify)
Utilities 1/411
TOTAL $ / `11-
Plans Examiner
WHEN MACli.HINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMEStt�� A PERMIT.
"'�"""� _ 1 5--8' 3 1'8 531 z A. 1 4 0 0 2 1
• PERMIT IS NONTRANSFERABLE O;3, PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE r;''' DATE ISSUED PERMIT NO. TOTAL