1979, 10-19 Permit: 79-6346 FurnacePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK
— ) • i .J
... ■
FEES COLLECTED
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 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 $ �n
Zone Clearance
WHEN MACHINE VALIDAI
SEPA Checklist THIS (BECOMES A PERMIT.
DATE/o/OFFIC L 1 U 9— 7 9
APPR FOR ISSUANCE
DATE
PERMIT NUMBER —�
04* *7.00
*7.00
*7006
E *000 00
634.52
10-19-79
6479.
r '
J
THIS SPACE,
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
1.
C
LOT
BLO KSUB
IVISION
PARCEL NUMBER/S
2.
OWNER
PHONE
3
of
«�
ADDRESS
ZIP
Required Set Backs in Feet
El O
C
P G
�rf�h
a0
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
`
4.
ADDRESS
IP
Type Const.
Occupancy
Sprinklered
s% n
1�
I
❑ Yes ❑No El Req'd.
DESI NER
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
No. Rooms
Rec. Room
TYPE NEW
❑ ALT. ❑ AD'N. ❑ RPL.
❑ MVE.
7.
7.
OF
❑ BLD.
❑ PLMB. ?4MECH: ❑ M.H.
OTHER
❑ POOL
CERTIFICATE
Req'd.
I Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
— ) • i .J
... ■
FEES COLLECTED
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 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 $ �n
Zone Clearance
WHEN MACHINE VALIDAI
SEPA Checklist THIS (BECOMES A PERMIT.
DATE/o/OFFIC L 1 U 9— 7 9
APPR FOR ISSUANCE
DATE
PERMIT NUMBER —�
04* *7.00
*7.00
*7006
E *000 00
634.52
10-19-79
6479.
r '
J
THIS SPACE,