1983, 10-21 Permit: 83B-719 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
,� SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY ��' "I�
( . J 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. 11i0 -7 ! `7th
LOT BLOCK I SUBDIVISION LEG4L DESCRIPTION:
2.
OWNER 1 PHONE PHONE
3. C M F#RL C D POLL AO �l2 r U 3 v
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
if 112.07 - 171-1- ` ,Z O kr North C south East I West
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential C
4. STL E:/4 )4E4T 5.6.7;*:+c J- # 12.2-5-324-? Commercial❑
ADDRESS ZIP Type Const. Occupancy Sprinklered
`192.46 ❑Yes ❑No ❑Req'd.
i'1/ 38,1 Si�LCAv/iN RD vim - ,, lI :,, ;
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 Unfin.Basement
f. / _
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. AkEtPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB.XMECH. ❑ M.H. ElPOOL CCrVarian Exempt. Required Yes❑ No❑ Number
Received Yes El Non
DESCRIBE WORK Shorelines/Flood Hazard Plans Required ID8. RtyhovEtfiL r-i.w/W tE 'r IAJsT/41-t- 6#5 rV' i, A Yes El Not Applic.❑ Received ❑ 7 I,
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED ` -- ;
9 OF PRtIVATE 0❑ SEPTIC O Public❑Private 0
OF
n
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 pecified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the pr • ions of any other state or local law regulating construction or the performance
of construction.SEE REVERS E FOR REO ED INSPECTIONS Plumbing
SIGNATURE OFAPPLICATION
OWNER OR AGENT DATE /i:r Mech.
SPECIAL APPROVALS SPECIAL CONDITION : (SEE REVER SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE I
Env.Health �� ��� ki ���
61 AP Iti ( Ii' SEPA
Planning / Modular/
MFG.Home ).
Fire CL.
Prevent. G
Other(Specify) V
4.1Engineer -I
UtilitiesI ,
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 I D IN 180 DAYS 10 -2 1 - 71. 9 c * 18, U 0 °
Tech. /y�I DATE ISSUED PERMIT NO. °TOTAL