1979, 10-25 Permit: 79-6701 FurnacePLAN NUMBER v
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PEAMI NNLi BER
g -&7l/
DATE 1®--P-cS 79'
04* *7.00
*7.00
*7.00
E *0,00 00
670,02
10-25-79
9 6479,
VALUATION
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
GAS
JOB ADDRESS
7-4
SEWER
LEGAL DESCRIPTION — SEE ATTACHED
1.
// /
of
LOT
BLOCK
SUBDIVISION
9,
PARCEL NUMBER/S
2.
I
Single $
OWNER
PHONE
3.
Aaoe-
'e L`°. -flet
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
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type of work will be complied with whether specified herein or not. The granting of a permit does not presume
ADDRESSf
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
ZIP
Required Set Backs in Feet
performance of construction.
Plumbing
/
`[ -S �� ,G(2r
&
DATE %l% "�%� SIGNATURE ' L``"^
Mech. S,O/
SPECIAL APPROVALS
SPECIAL CONDITIONS:
Sc / ' 4�G
0 t1,
North South East West
Plan Check
C014TRACTOR
Env. Health
PHONE
Size of Parcel
Zone Classification
SEPA
Planning
4.
ADDRESS
Mobile Home
ZIP
Type Const.
Occupancy
Sprinklered
/
Co. Engineer
Utilities
I
❑Yes ❑No ❑ Req'd.
DESIGNER
TOTAL $
PHONE
Valuation
Building Area in Sq. Ft.
5.
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
ZS— 79 �y
THIS BECOMES A PERMIT.
ADDRESS
`� �
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
�
TYPE KNEW
1-1 ALT. 1:1 AD'N. El RPL.
El MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ OTHER
❑ BLD.
❑ PLMB. ❑ MECH: ❑ M.H.
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
8
DESCRIBE WORK
,..
_
FEES COLLECTED
PEAMI NNLi BER
g -&7l/
DATE 1®--P-cS 79'
04* *7.00
*7.00
*7.00
E *0,00 00
670,02
10-25-79
9 6479,
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
of
9,
Utilities
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.
Plumbing
DATE %l% "�%� SIGNATURE ' L``"^
Mech. S,O/
SPECIAL APPROVALS
SPECIAL CONDITIONS:
f �d✓�
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities
£� 1
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
ZS— 79 �y
THIS BECOMES A PERMIT.
`� �
DATE OFFICIAL
APPROVED FOR ISSUANCE
* 7 r.
a,
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