1984, 03-30 Permit: 84A-2767 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 27( 7
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
...-
JQB ADDRES�// J ' L..EGA . DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
• , NcER J PHONE
i F . i/ I 9 7. 2-CP e_-4"
N rthal Set Back'Sout Feet
East 'West
NTRACTOS-- PHONE Size of Parcel Zone Classification
4.
ADDRESS �.. c. Type Const. Occupancy Sprinklered * ( n 0l ('
/ t/ C) 9 C y�.'L/ k).. ' % %ZC->' ❑Yes ❑No ❑ Req'd.
DESIGNER PHONEcn
Valuation Building Area in Sq. Ft.
5. f i 6 ',
ADDRESS ZIP Main Floor Upper Floors ( Garage Area Storage _
1.
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. El AD'N. 0 RPL. 0 MVE.
7 WORK 1:1BLD. ❑ PLMB. .-•-MECH. ❑ M.H. ElPOOL ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
CRIBE WORK Enum. Dist. I Location (Area)
8.d..1:.(1. --
� t_ F ` `� ` l fL� FEES COLLECTED
(� y I
VALUAT N S•4 RCE GAS. ELECTRIC WATER SEWER Ownership USE CODE
OF
9. '•TILLITIES 4 Public 0 Private ❑
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 INSPECT!8,;,,., Plumbing
DATE OF APPLICATION--?7 G-' SIGNATURE OF APPLICANT , 4" T'-- Mech.
SPECIAL APPROVALS SPECIAL IONS
NAME DATE /��Jj _�TT...f'<. ,� -ce _ / `\ /r,� Plan Check
: 1th
(e71lanning
Fire Marshall (1 b., �r j j ,/ �� �% o�J / � ��'` le Home
Co.Cngineer `' ' --- , .%/- '5;1• "".--(' Other(Specify)
Utilities v�� ��e)
_ / / `; TOTAL $2('
Plans Examiner Yl� �1
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technicia 1",47414, PERMIT IS NONTRANSFERABLE 0 '3 -�3'0 -8 4 2 7{6,7 z * 2 0, 0 0 a
h PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL