1979, 10-01 Permit: G79-5039 FurnacePLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HAR 'i 6 MAKE 4 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
i. r I
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2.
DESCR BE WORK �
8 a e l , r -n `L e / 'n ?1 0
FEES COLLECTED
VALUATIIDN Source GAS it ELECTRIC WATER /c 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 or local law regulating construction or the
performance of construction. Plumbing
DATE SIGNATURE— Mech.f,,,A, 1
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD_ I Plan Check
Env. Health
OWNE$LL /
- r- S�
PHONE
re
Planning
3.
tG
n!/� �f^
Co. Engineer
/ .,,I .t
eo
Utilities
ADDRESS
TOTAL $
Zone Clearance
ZIP
Required Set Backs in Feet
SEPA Checklist
C, C?
/ .�
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
`
a f -'#t
o
3 -�f97'
4'
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
P ')t
,Q
/ , y' �L
(7vo
El Yes [-]No1-1Req'd.
DESIGNER
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 1-1 NEW
El ALT.
1-1AD'N. 1-1 RPL.
1:1MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF ❑BLD.
❑ PLMB.ECH:
ElM.H.
❑POOL 11 OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCR BE WORK �
8 a e l , r -n `L e / 'n ?1 0
FEES COLLECTED
VALUATIIDN Source GAS it ELECTRIC WATER /c 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 or local law regulating construction or the
performance of construction. Plumbing
DATE SIGNATURE— Mech.f,,,A, 1
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD_ I Plan Check
Env. Health
SEPA
Planning
Mobile Home
Other (Specify)
Fire Marshall
Co. Engineer
eo
Utilities
TOTAL $
Zone Clearance
/THI
DATE I OFFICIA
WHEN MACHINE VALIDA7
B COMES A PERMIT.
�O 1 —7 9
SEPA Checklist
DATE
PERMIT NUMBER
%� S 63e_2
04* *1200
* 1 200 vii
*12006
S *000 8
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10-01-79
2 61479
505.91 *1200°