1979, 12-18 Permit: M79-9246 FurnacePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER ^—I
* M _I � -I Li t"
DATE
r;4* *7.00
* 7, 0 n
*7.00
E 0
921.G_s
12-18-79
5.479.
DESCRIBE WORK—+
APPLICANT: COMPLETE NUMBERED SPACES —
PRESS HARD TO MAKE 4 COPIES
8 5 j ��A� _ J
JOB A CRESS1. p71
VALUATION
9.
LEGAL DESCRIPTION — SEE ATTACHED
GAS
ELECTRIC
WATER
SEWER
Single $ .
LOT
BLOCK
SUBDIVISION
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
PARCEL NUMBER/S
2.
I
/construction. - �
DATE / -2'/ -7 SIGNATURE ,a`'= ��
— Mech.
WR
DEPT. REQ'D. RECD. Plan Check
Env. Health
3.
SEPA
Fire Marshall Mobile Home
AD/DRESS
ZIP
Required Set Backs in Feet
/� /
e -�
�f
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
9 2 4 6 rJ 0-0 d f -
/ 4) /
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North South East West
C NT ACTOR
PH E
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
.
Type Constccupancy
O
Sprinklered
- }
lD > L%
�7 �
❑Yes ❑No ❑ Req'd.
DESI NER
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.
,�{
TYPE ;JQI NEW ❑ ALT.
❑ AD -N. ❑ RPL. ❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF %% �\
❑ OTHER
WORK ❑ BLD. ❑ PLMB.
���""" """
pp�v�ECH: ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
/_
of EXEMPTION
PERMIT NUMBER ^—I
* M _I � -I Li t"
DATE
r;4* *7.00
* 7, 0 n
*7.00
E 0
921.G_s
12-18-79
5.479.
DESCRIBE WORK—+
8 5 j ��A� _ J
FEES COLLECTED
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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 stateor local w regulating:coKnstrionor the
performance of Plumbing
/construction. - �
DATE / -2'/ -7 SIGNATURE ,a`'= ��
— Mech.
SPECIAL APPROVALS SPECIA CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
9 2 4 6 rJ 0-0 d f -
DATE ��j OFFICIAL 1
z '
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