1981, 10-07 Permit: 81B-388 FurnacePLAN NUMB R APPLICATION/ PERMIT
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
�O d LEGAL DESCRIPTION -SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
OWNER
ADDRESS
Ir _7 fa
PHONE
6-- (g;'"6
Z P Actual Set Backs in Feet
91 9d0 North South
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
J
` a9, - 4Il (OD
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
vu dal
t
❑Yes ❑No 11Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5. ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement iUnfin.
Basement
6.
+�
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE � NEW El ALT. El AD'N. El RPL. El MVE.
%, OFl��l ❑OTHER
❑ BLD. ❑ PLMB. 1R MECH. ❑ M.H. OF -1
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESCRIBE WORK
8 I �
y — � W. (X
C'WATER
Enum. Dist. I Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
SEWER
Ownership
USE CODE
Q,
I UTI
/�
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
Mach. Q�
DATE OF APPLICATION SIGNATURE OF APPLICANT r
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning,�Q/✓r s
Fire Marshall
-67 0
Co. Engineer ji�X./Ls✓v
Utilities
Plans Examiner
nician PERMIT IS NONTRANSFERABLE
*�Y. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
M IPERMIT NUMBER
ei8-350
04* * 1 4.00
*1!1,00 C
*14.000
A *0,00 8
38.7
10-07-81
o
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO.
*14000) _
TOTAL