1982, 12-23 Permit: 82B-2170 Furnace PLAN NUMBER APPLICATION/PERMIT '--4 PERMIT NUMBER
0.}
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 'S .2-i 7
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDIS
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1.
/y //C�/�
LEGAL DESCRIPTION — SEE ATTACHED
LOT OCK S DTVI ON PARI EL NUi'd'iBER/S
2.
3. z/7)6(e de:ol ti//.i .a in
g,-4 9110
AD ES% ' f // ZIP Actual Set Backs in Feet
D/� '^ ! North 'South East (West
CON •r'• TyRSize of Parcel Zone Classification 0 4 * * 1 7.0 0
, A/, /_ �/ ..- /T�-7�71.4 * 1 7. 0 0
4' AD. SS 4....,
/ r s� ' / ///� Type Const. OccuPancY Sprinklered q 0 c'
f'�VIY Eves ❑No ❑ Req'd. A * Q, li 0 c�
DESIGNER PHONE Valuation Building Area in Sq. Ft. 2 1 E7. 9
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 1 2_2 3—8 2
CHANGE OF USE FROM TO Area of Decks Finished Basement Unf in. Basement G 6 4 7 9,
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. 0 AD'N. 0 RPL. ❑ MVE.
7, OF ���,,,/// ❑ OTHER
WORK 0 BLD. 0 PLMB. I MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
/ ` of EXEMPTION
Di.C•I- j OR Enum. Dist. I Location (Area) ' FEES COLLECTED
8. ,,i' /� ‘k1/41/6(J2 a //O/GLG,,C i '
VALUATION SOURC GPyELECTRIC WATER SEWER Ownership USE CODE
OF /�/`
9. UTILITIES Public ❑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 egi ating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INS OONNS' Plumbing
DATE OF APPLICATION IGNATURE OF A'• ICA i -„,ii.... ._ _...."—ie /-- -/ Mech. /7,40
SPECIAL APPROVALS SPE.- AL CONDITIONS: ''.'"'
NAME DATE '....1(//1417/43 '/�f(%pJ�s,�a^ Plan Check
Env. Health /SCG `/���� (/
/ SEPA
o_
o_
Planning CDU
Mobile Home I'
Fire Marshall J
i4
Co. Engineer Other(Specify)
ii
Utilities $.0_a_O
TOTAL
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
:. Te iraiik PERMIT IS NONTRANSFERABLE l),-2 2 217.0 Z *.17. 0.0 2
lei PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL