1980, 09-04 Permit: 80-9597 Furnace, Heat Pump PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT '42 7
VNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS U G- * * 1 8,O 0
3 LEGAL DESCRIPTION - SEE ATTACHED
1. L= id ,L if i 7 * 1 c- 0 0
LOT BLOCK SUBDIVISION ,PARCEL NUMBER/S
2. * 1 8,008"
OWNER PHONE E * 0 0 0 c?
3. 111,4A M 4- R ,I? 14. ,i- "4 /N ..r 0 N 59.'.- ' 7
ADDRESS / ^� ZIP Actual Set Backs in Feet 9 5 9, 6 T
/ K p ✓- / / g 7'2 /.1 (c North (South East (West 9—0��— 8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
4. /tic2 ri . " I ft7`//V a 3 -777:,-.->7/ z 6479
ADDRESS ZIP Type Const. Occupancy Sprinklered
Cc-LJ c5'-- 1` R E /V T 51 y,v v 4 ❑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 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
SCRIBE WORK �, _ 1 Enum. Dist. Location (Area)
'/ �� / / FEES COLLECTED
8. ri 14i;--p-L.,47;?:_,r. dcti 4,_.0 d,Lt�c.�— .a�� ` „YC4s�i:.1�� 1._
-VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
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 INSPECTIONS Plumbing
3,ur?
3.o ,-
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech. '..•40 o'
SPECIAL APPROVALS SPECIAL CONDITIONS: 1‘,0 ifs �a
NAME DATE Plan Check
Env. Health
Planning L SEPA 0
./...-,_‹..._&;7)...„ tar,
Fire Marshall Mobile Home -moi
ii
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Ickdi!iiiraii hnician PERMIT IS NONTRANSFERABLE 0:9'-0'41-8. 5 9. 7 o 1 8 O O o
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL