1982, 07-28 Permit: 82A-6518 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
VNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
04 * * 1600
1 JOB ADDRESS 1 ��5LEGAL DESCRIPTION - SEE ATTACHED * 1 6.0 0 6
LOT BLOCK SUBDI� - 1 ON PARCEL NUMBER'S A * C 0 0 2
2.
OWNER L PHONE 6 5 1. 7 :.`-'
�V\ 8 8
ADDRESS ZIP Required Set Backs in Feet 0 7- 2 - 2
North South !West c 6 47 9
CONTRACTOR PHONE
PHONE Size of Parcel Zone Classification
4. ADDRES� SN��� ZIP Type Const. Occupancy Sprinklered
l� l� 7`/�lS [ Oyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation 1Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
C4-iANGE OF USE FROM TO Split Entry Split Level Rancher
d 6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. 4OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. CIPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
D RIBE WORK
8 \� -y- 1 FEES COLLECTED
VALUATION �� Source GELECTRIC WATER SEWER
of
9. Utilities
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. Plumbing
DATE ! R-1,..-- SIGNATURE lel
�-- � + Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health I G Y Q
t SEPA C
a
///'''���' F-
Planning O'��r� — LL
Fire Marshall Mobile Home z
Co. Engineer E ' / Other(Specify)
Utilities s"- �2 i - ! }}'0
�, (// TOTAL $_ 10
.__
Zone Clearance ��
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ,, glii# , 4,:_
THIS R7ECOMES A PERMIT.
DATE � '1
� , AFF L " `-�a _‘,A.___ 0r -18 t 8 2 65L82 *16,002ri
11
APPR(}VED Fi' ISSUANCE