1981, 09-23 Permit: 81A-9690 FurnacePLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
q�
SPOKANE COUNTY — BUILDING CODES DEPARTMENT / g l k _ l vO,
1 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
i
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
9'-r 15�.J� A �� LEGAL DESCRIPTION -SEE ATTACHED
1.LOT I BLOCK ISUBUIVISION PARCEL NUMBER/S
ER
E
" Yin hlecl
d C. / c7V
ADDRESS�^- ; ,�
ZIP
Actual Set Backs in Feet
/J l� rC
/!
G
North South East West
CONTRACTOR
PHONF_
1Type
Size of Parcel
Zone Classification
l�
✓'3
4' ADDR SS
ZIP
Const.
Occupancy
Sprinklered
.37
Dyes -]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
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
5' ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Ar;7
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE V1NEW ❑ ALT. ❑ 7'N. ❑ RPL. ❑ MVE.
7, OF _/ ❑OTHER
WORK IJ BLD. 1:1PLMB. 1111+11 MECH. ❑ M. H. POOL CERTIFICATE Req'd. I Recd. Not R
of EXEMPTION
DESCRIBE W RK Enum. Dist. I Location (Area)
FEES COLLECTED
8. ',1-
r
VALUATION
SOURCE GAS
E ECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILOI S
✓'3
Public ❑Private ❑
Single $
1 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
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
/performance
'/DATE OF APPLICATION � � SIGNATURE OF APPLICANT CIL'�f'L 1 &!,dj(1/ <Le.(�✓
c�.//
Mech. � � V��
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
'L"VL- L —
Plan Check
I SEPA
4tf
.' ?-V 5-0
g Te n ian , PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify)
TOTAL $ 1 Y, LV
04* *14.00
* 1 4.00 In
* 1 4.0063
A *0.00 t
9 6 B 9:n
09-23-81
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO.
*14OOa-J
TOTAL