1983, 11-15 Permit: 83B-1689 Furnace PLAN NUMBER APPL ICAT ION/PERM IT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY 836 /&89
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. E" //z 6_2 _�
LOT BLOCK SUBDIVISION r EGAL DESCRIPTION:
2.
O R • PHONE PHONE
1,/, i' _..1/.9-Z40,9-A/ /°,2�f-- Z)/5
3. MAILING ADDRESS ZIP Actual Set Backs in Feet to:
//... .. 3 / �` 9 4 North _ISouthEast I West
CTRAC/TOR/ p LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential❑
4. /6X'it A/4-,e , 't- -Z- CZ) 6 "/'"3. s:53--/.7y/ Commercial❑ .
AD RESS ZZIj Type Const. Occupancy Sprinklered
I�er• ne 1/."�� /r , ❑Yes ❑No ❑Req'd. * l_` 0
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement i .; - i
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. -PL. ❑ MVE.
7. OF ❑ OTHER •
WORK
El BLD. ❑ PLMB. . /TECH. ❑ M.H. ❑ POOL C ai�aoExempt. Required Yes No❑ Number
Received Yes No❑
�
QESCRIBE WORK /�]� - Shorelines/Flood Hazard Plans Required❑
8. /ll.SC.-�t<L/ .f .4- -- 7� i .,/,4e-- Ls//���f ow41.•-e- Yes Not Applic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WAPUBTER O SEWAGE Ownership FEES COLLECTED
9• UTILITIESLI
PRIVATE❑ SEWER❑ Public❑Private❑
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 type of Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction.SEE REV •SE SIDE FOR REQUIRED INSPECTIONS Plumbing
SIGNATURE OF / �,r,�. � APPLICATION
OWNER OR AGENT -- 1 7X,-;?,,e1-. ).717-le
DATE /ly J/ 7 Mech. /(6 ez'
SPECIAL APPROVALS SPECIAL CONDITIONnryS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
/
PRELIM. FINAL DATE /fj 7- /
L
Env.Health nor 'G !
SEPA
Planning Modular/
MFG.Home �.
Fire O.
Prevent. c
Engineer Other(Specify) v
W
J_
Utilities /i.ap
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS aSSUED 5 - 8 5 16 8. 9 z I: * 16 0 0.2
Tech.
DATPERMIT NO. TOTAL