1979, 08-20 Permit: 79-2493 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT•r UJMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT /1 .7q- zq,3
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
04 * * 7.00
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED *7.0 0 Lo
LOT LOCK SUBDIVISION PARCEL NUMBER/S * 7.0 0 c>
2 OW R (� PHONE E * 0 0 0 co
`vw\ w
3 2 4 9,2
ADDRESS ZIP Required Set Backs in Feet
'^.', North 'South East (West 0 8-2 0-7 9
C TR .�-- PHONE Size of Parcel Zone Classification 6.
� 479.
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
`t 3 .-' l ❑Yes ❑No ❑ Req'd.
DESI 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 No. Baths No. Floors No. Rooms Rec. Room
❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF 0 OTHER -
❑ BLD. 0 PLMB. ❑ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK of EXEMPTION
DESCRIBE WORK
8. ( - )..A—`'J"' 1 S (2 FEES COLLECTED
VALUATION VSource l GAS ELECTRIC WATER SEWER
l(rif. -----
of
9. Utilities Single $ Y
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 7- 1f ) - 7 c SIGNATURE �Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA o
U
Planning — w
0.
Mobile Home c,-)
Fire Marshall z
Co. Engineer Other (Specify)
Utilities !�
TOTAL $ /
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMESpA PERMIT.
DATBF 77Q OFFICIAIr O 0 2 O ,' 4.7 7 7.3 * /7,O O C a,
APPROVED FOR ISSUANCE _