1980, 08-08 Permit: M80-8288 FurnacePLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
l./ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
FEES COLLECTED
orth South
East West
ize of Parcel
Zone Classification
of
9. Utilities
OWNER � ('�
p_
Occupancy
PHONE
3.
� f��
�•►.�n-'Lt�• a
aluation
Building Area in Sq. Ft.
performance of construction.
ADDRESS
DWL Area
ZIP
Garage Area
CON-[ ACTOR
11
—b
Mech.
R�10NE
-
?—
Split Entry
Rancher
( i-�-1 S L
4.
ADDRESS
No. Baths
No. Floors
ZIP
Rec. Room
Fire Marshall
Co. Engineer
Other (Specify)
CERTIFICATE
DESIGNER
Recd.
Not Req'd.
PHONE
5.
I
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist //�/ l�// ` �7
noTF 4A�0 ncFirini �AV4" <- �Ort`i
THIS BECOMES �A PERMIT. pp
0 8.? -'0 87`8 0
ADDRESS
ZIP
CHANGE OF USE FROM
TO
6.
TYPE _il NEW ❑ ALT.
❑ AD'N. ❑ RPL.
❑ MVE.
7
❑OTHER
WORK ❑ BLD. ❑ PLMB.
-MECH: M.H.
�El
❑ POOL
equired Set Backs in reet
FEES COLLECTED
orth South
East West
ize of Parcel
Zone Classification
of
9. Utilities
Single $
Type Const.
Occupancy
Sprinklered
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
1. ❑Yes []No ❑ Req'd.
aluation
Building Area in Sq. Ft.
performance of construction.
Plumbing
DWL Area
Basement Area
Garage Area
Storage
—b
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
Split Entry
Split Level
Rancher
Env. Health
SEPA
No. Baths
No. Floors
No. Rooms
Rec. Room
Fire Marshall
Co. Engineer
Other (Specify)
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
I
WHEN MACHINE VALIDATED IN THIS SPACE,
M 1PERMIT NUMBER
80-8�
DATE 7
04* *7.00
*7.00
*7.006
E *0,00 00
8 2 a 6;F
08-08-80
;R 6479,
DESCRIBE WORK
8.
FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
Single $
1 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
v^
DATE �- 10 SIGNATURE
—b
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist //�/ l�// ` �7
noTF 4A�0 ncFirini �AV4" <- �Ort`i
THIS BECOMES �A PERMIT. pp
0 8.? -'0 87`8 0
*z00a0F
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L
C
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