1980, 10-01 Permit: 80B-1203 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 401 -•- iZo.3
N/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HAPD TO MAKE 4 COPIES
JOB ADDRESS � '� r0 [) * * 7, 0 0
1. /3 g/ ' c=l6 _ LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S s: f.0 0
2. * 7.00x
3. OW ....V ' , yPpNE
/!/� 49—a/O3 P. * a gni
ADDRESS ZIP Required Set Backs in Feet
/3 s,/,/, , � '_`'� I � i9, n
North South East West
TRACTOR )42„6.0._ PH NE Size of Parcel Zone Classification 1 0-0 1 -8 0
\....A.4.....yrid. 1�,,�aJ `11.5'--/o/7
4' .D ESS ZIP Type Const. Occupancy Sprinklered z`' 6, 7 9
/ aa�4 c54261YgAyLe, 7 g a 0 7 ❑Yes ❑No ❑ Req'd.
is SIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
TYPENo. Baths No. Floors No. Rooms Rec. Room
❑ NEW ❑ ALT. ❑ D'N. ❑ RPL. 0 MVE.
7. OF CI OTHER
WORK ❑ BLD. CIPLMB. MECH: 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
D RIBS WORK 7ftO 444— FEES COLLECTED
8. etZ L�/y�
VALUATION Soyrce GAS ELECTRIC 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 et- lo al law re sting c truction or the
performance of construction. Plumbing
DATE
9/JV nSIGNATURE / Mech.
/ C
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA P
Planning -- w
L.
Mobile Home
Fire Marshall Z
Co. Engineer Other (Specify)
Utilities TOTAL $ 7�
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BErCpME 1tt PE RMIT.
DATE OFFICIAL
APPROVED FOR ISSUANCE