1979, 11-06 Permit: 79-7360 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 4 COPIES
JOB ADDRESS
� E.� � LEGAL DESCRIPTION -SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
PERMIT NUMBER
-7 Ci
DATE
04* *700
*700
735.92
11 -Ob -79
2 6.479.
v. LZW
VALUATION
9.
OWNERPHONE
t L--
GAS
vi
ELE
v
WATER
SEWER
Single $
3ADDRESS
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 construct n or the
Plumbing
performa a of constructiof n. CV
D
ZIP
Required Set Backs in Feet
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
North South
East West
Planning
CONTRACTOR
Mobile Home
HO E
Size of Parcel
Zone Classification
4'
Utilities
TOTAL $
Zone Clearance
jADD
WHEN MACHINE VALIDATED
SEPA Checklist THISiBICOMIE, A PVMIT.
ZIP
Type Const.
Occupancy
Sprinklered
r ,
,--I IESSt 1,5QA
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No. Floors
I No. Rooms
Rec. Room
TYPE W ❑ ALT.
❑ AD'N. ❑ RPL.
❑ MVE.
7,
OF
1:1BLD. ElPLMB.
(�
ECH: ❑ M. H.
❑ OTHER
POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
SCRIBE WORK
iDEi- .-- n Cf tZ .. 1
i n n .L c /1
FEES COL L ECTED
PERMIT NUMBER
-7 Ci
DATE
04* *700
*700
735.92
11 -Ob -79
2 6.479.
v. LZW
VALUATION
9.
Source
of
Utilities
t L--
GAS
vi
ELE
v
WATER
SEWER
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 construct n or the
Plumbing
performa a of constructiof n. CV
D
DATE t 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 THISiBICOMIE, A PVMIT.
.,.
?L
r !
DATE OFFICIAL
r ,
APPROVED FOR ISSUANCE
*7.000