1979, 08-14 Permit App: 79-2159 Furnace & DuctworkCHANGE OF USE FROM
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Split Entry
Split Level
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
6.
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
TYPE CiI�.44EW 1:1 ALT. ElAD'N. El RPL. ElMVE.
JOB ADDRESS
No. Floors
LEGAL DESCRIPTION —SEE ATTACHED
Rec. Room
11213
E. 31ST
Req'd.
Recd.
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
DESCRI E WORK
FEES COLLECTED
8. INSTALL 25 K.W. ELECTRIC FURNACE AND DUCTOWRK
VALUATION Source GAS ELECTRIC WATER SEWER
OWNER
of
9. Utilities XX
PHONE
3
DANNAX INC.
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
924-3502
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
Building
ADDRESS
ZIP
Required Set Backs in Feet
performance of construction.
4621 S. FARR
99206
DATE SIGNATURE _f
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
North South East west
Env. Health
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
G & 11 HEATING & COOLING.INC,484-4078
Fire Marshall
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zr� -
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
3003 N. CREaTLINE
99207
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
I Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE CiI�.44EW 1:1 ALT. ElAD'N. El RPL. ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7, OF El OTHER
❑ BLD. ElPLMB. ElMECH: ElM.H. EJ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESCRI E WORK
FEES COLLECTED
8. INSTALL 25 K.W. ELECTRIC FURNACE AND DUCTOWRK
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities XX
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 _f
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
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zr� -
Co. Engineer
Other (Specify)
`
Utilities
Zone Clearance
SEPA Checklist
DATE
OFFICIAL
ADDDn%icn rnt) IQQIIAI\Ir`C
DATE
AUGUST 13, 1979
04* *7.00
*7.00
*7,00
E *a00
21582
08-14-79
-R 6479,
TOTAL $2==j
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08-14-79 2T 5,9z
*7.00°
DATE
n
REMARKS
RECORD OF INSPECTIONS
Final Inspection
INSPECTED BY
*Q(', 0
* x 0 0 Q
*SOO W.
00 1 OD