1982, 05-06 Permit: 82A-3524 FurnacePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 'EFS //3,A7 LEGAL DESCRIPTION— SEE ATTACHED
OWNERPHONE
d
I
3.
ADDRESSZIP
Actual Set Backs in Feet
*Az", w f )
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
`
�c z
i
4.
ADDRESS
ZIP - /
Type Const.
Occupancy
Sprinklered
A6
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
`
TYPENo.
❑ NEW ❑ALT. ❑ AWN. RPL. ❑ MVE.
Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF 'e OTHER
❑ BLD. ❑ PLMB. MECH. ElM.H. ElPOOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist. Location (Area)
r
8.
FEES COLLECTED
VALUATION
SOURCE
GAS
EL RIC W T ER
Ownership
USE CODE
9.
UTILOITIES
IVEW
Public El 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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS�
Plumbing
,�q,�, It
z OX
DATE OF APPLICATION , SIGNATURE OF APPLICANT / /fit 1�.Ld17�
Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
neer
s Examiner
Building Technician
SPECIAL CONDITIONS:
lo•°a
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
^ PERMIT NUMBER
e.2 A- 3572
*22,00
3523_
6479.
CO
TOTAL $ 2--Z':fk
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0-`06'-82 3524,2
DATE ISSUED PERMIT NO.
*2200aD0'-
TOTAL