1981, 07-24 Permit: 81A-7405 Furnace PLAN NUMBER APPLICATIFWPERMIT PERMIT;UMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 7
t./' NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS1. LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 7. 0 0 v7
2. * 1 7, 006
OWNERPHONE
3-`cam.. '-----7C - _ ck: -\ \ A * 0. 00 3
ADDRESS ZIP Actual Set Backs in Feet
\C/v\ -- \\ MN �. V ( ` ._ �� 1CNorth�, !South 7 0 .
TRCONACTOR „ PHONEA -. Size of Parcel Zone East Classification 0 7—2 4—81
'' `s-- Nli\t``. \c\G� Z�i ;\ < - s a`' \ \-\`
ADDRESS ZIP _ Type Const. Occupancy Sprinklered 6.4 7 9.
NiN . c7A YD\�` A�"Y1, vc: �.- —(-� ` ❑Yes ❑No E 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 ❑ NEW ❑ ALT. ❑ A 'N. 0 RPL. 0 MVE.
7, OF OTHER
WORK
0 BLD. 0 PLMB. Y.-MECH.MECH. ❑ M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
.:DECRIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED
8. a-mac= ,\\ �`M.c�'` s: N "a"..:-.).. ,---c-s -- V�.r-� >-
VALUATIONI SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. (,ITILITIES 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 ]
tl: " C '\ .\ - ;, Mech. of ���b�
DATE OF APPLICATION -- SIGNATURE OF APPLICAN�
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA -
7
Planning ,
Fire Marshall Mobile Home
Co. Engineer Other(Specify)
Utilities TOTAL $ (1-k-Cr->
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bui ingcechnician PERMIT IS NONTRANSFERABLE 011712 il-H8y�'' 7 4 Q 5 g *17.0 0 Oa H a
-°(,/6• J c ib......),„
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL