1983, 10-18 Permit: 83B-571 FurnacePLAN NUMBER APPLICATION/ PERMIT
PERMIT NUMBER
�� 1
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKAN2, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
,Z --t—LEGAL DESCRIPTION — SEE ATTACHED
1 7 l _
LOT BLOCK PARCEL NUMBER/S
ISUBDIVISION
2. I
OWNER ,} PHONE
/' Cnv6r'
3.
ADDRESS ZIP Actual Set Backs in Feet
North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
7
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
�15?-�7-0 1 1 ❑Yes ❑No ❑ Req'd.
1 4' 0
DESIGNER PHONE Valuation Building Area in Sq. Ft.
0
5. Upper Floors Garage Area Storage
ADDRESS ZIP Main Floor
I
(, .k ��., 1 t
(i L, C
CHANGE OF USE FROM TO Area of Decks Finished Basement Unf in. Basement
6.
�ZC�
Baths No. Stories No. Rooms No. of Dwellings
_ I 10, — 8 zJ
TYPENo.
NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER Recd. Not Req'd.
❑ BLD. ❑ PLMB. KMECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd.
_ 4 % 0,
WORK
of EXEMPTION I
DESCRIBE WORK .._ Enum. Dist. Location (Area)
c� FEES COLLECTED
$ ��, -, —
L
VALUATION SOURCE GAS E�LEECCCTR WATER SEWER Ownership USE CODE
9, UTILOITIES Public ❑ Private ❑
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
I
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
.-.. ��..� ,. ...,. ... ,. T.�.Jr 1/ %/,c , ioc nc Wool innniT �. -5;�, Mech
SPECIAL APPROVALS
NAME DATE
iv. Health
Planning
neer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
J �) .
TOTA L $ y e
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10=18=8`3 5'7:12 *1100°Fj-
DATE ISSUED PERMIT NO. TOTAL