1979, 08-14 Permit: 79-2161 FurnacePLA" NUMBER
APPLICATION/ PERMIT
VALUATION
Source
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
ELECTRIC
WATER
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
9,
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
;kXX
S
ADDESS
JOB R
Single $
DESCRIPTION — SEE ATTACHED
1.
1DD
30TH
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
DATE SIGNATURE— Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
OWNER
DEPT. REQ'D. RECD. Plan Check
PHONE
3.
DAHAX INC924-3502
SEPA
Planning
ADDRESS
ZIP
Required Set Backs in Feet
4621 S. FARR
Co. Engineer Other (SpecifY )
99206
Utilities
TOTAL $
Zone Clearance
North South East West
IN THIS SPACE,
CONTRACTOR
SEPA Checklist THIS BECO IME A PERMIT.
0 8— 1 -7 9
PHONE
Size of Parcel
Zone Classification
APPROVED FOR ISSUANCE
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
3003 Id. CP.EfLINF.
99207
F
Dyes [-]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
OWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
--
Split Entry
Split Level
Rancher
6.
1T0
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE �j'NEW ❑ALT.
ElAD'N. 1-1RPL. 1:1MVE.
7,
OF
❑ OTHER
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
❑ BLD. ❑ PLMB.
❑ MECH: ❑ M.H. ❑ POOL
WORK
of EXEMPTION
I
DESCRIBE WORK
rE—R;7—NUMBER
7
DATE AUGUST 13, 1979
04* *7.00
*7.00 f`A
*7.00
E *0.00
21602
08-14-79
6479.
t
8. INSTALL 23 K.W. T.P.I. ELECTI{IC FURNACE AND DUCTIVORK htt5 GULLtG'/ tU
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
9,
of
Utilities
;kXX
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.
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
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist THIS BECO IME A PERMIT.
0 8— 1 -7 9
/ j j
2 1 6 1 Z
DATE OFFICIAL
APPROVED FOR ISSUANCE
*7.000 Pj