1983, 05-03 Permit: 83A-3577 Furnace, PipingPLAN NUMBER
APPLICATION/ PERMIT PERMIT NUMBER
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
B LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLUCK IbUt$L)IVIbIUN PARCEL NUMBER/S
OWNER
k)R S Co"S72RO-CZ-101i
PHONE
-47,q4
�-
3.
,a
ADDRESS
ZIP
Actual Set Backs in Feet
U
Q.
North South East West
CONTRACTOR (
PHONE
Size of Parcel
Zone Classification
p ,OA)'s ,� .r/ �4 c' .
gk 09'6 0
WHEN MACHINE VALIDATED IN THIS SPACE,
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
,pp��,�
-715— /IJS� ��
n..�//��
1-W/ -
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF El OTHER
❑ BLD. ❑ PLMB. MECH. ❑ M.H. 13 POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK d� I +�
�Zl�PiUI�F
Enum. Dist. Location (Area)
FEES COLLECTED
8• NST GL ULICT S S E/►'1
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
I UTILITIES
I
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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
yin %
T� F IC
nATF CIF APPI Ir.ATInN X45 a RlrNIATI IRF r1APPI ANT iLGf%// • �I�iif
Mech. /
SPEC'pAL APPROVAL
NAME DATE
iv. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
/ — -0V/ rm 8/--k 6A -S PaMAc6'
6,4S PIPWC.
PF4 /W 17-
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
i;u* *1 BOG
*1 0 o
�i 7
SEPA
�-
U
Mobile Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
357.72
DATE ISSUED PERMIT NO.
TOTAL