HomeMy WebLinkAbout1979, 10-19 Permit: 79-6352 FurnacePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
PERMIT
PEER-MMII��,,
TNUMBER
m 1 / / J! ��
04* *7.00
*7,00 N
*7.006
E *a00
6351�
10-19-79
-4 6,479.
DESCRIBE WORK
FEES COLLECTED
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
$• ! F U ORK
JOB ADDRES
LEGAL DESCRIPTION — SEE ATTACHED
1.
4ffC
9, Utilities
Single $
LOT
BL
SUB IVISION
—
PARCEL NUMBER/S
2.
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
OWNER
performance of construction.
PHONE
DATE SIGNATURE—
Mech.
C
SPECIAL APPROVALS SPECIAL CONDITIONS:
90"1 Q -6U
3.
Plan Check
Env. Health
ADDRESS
o
Planning
ZIP
Required Set Backs in Feet
7 QKI E
Mobile Home
North South
East West
CONTRACTOR
Co. Engineer
Other (Specify)
PHONE
Size of Parcel
Zone Classification
A_j
TOTAL $
Zone Clearance
4.
ADDRESS
SEPA Checklist446OFF.--i",
IP
Type Const.
Occupancy
Sprinklered
7
* Z 0,.0
-
i+LC �PoKAN/IE
_
Dyes -]No Req'd.
DESIGI<iER
IrPHONE
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 SI NEW
1:1 ALT. El AD'N. El RPL.
El MVE.
7,
OF ' `
El BLD.
❑ PLMB. XMECH: ElM.H.
❑ OTHER
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DATE
PERMIT
PEER-MMII��,,
TNUMBER
m 1 / / J! ��
04* *7.00
*7,00 N
*7.006
E *a00
6351�
10-19-79
-4 6,479.
DESCRIBE WORK
FEES COLLECTED
$• ! F U ORK
VALUATION Source GAS ELECTRIC WATER SEWER
of
9, Utilities
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—
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
o
Planning
— w
CL
Mobile Home
v)
Fire Marshall
Z
Co. Engineer
Other (Specify)
Utilities
DD
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist446OFF.--i",
THIS BECOMES A PERMIT.
DATE _
9. _.7 Q 6 5, J. 2 ?
7
* Z 0,.0
APP 9VE91OR ISSUANCE
_