HomeMy WebLinkAbout1979, 10-24 Permit: 79-6627 FurnacePLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPE KNEW ❑ ALT. ❑ AD -N. ❑ RPL.- ❑ MVE.
7• OF El OTHER CERTIFICATE Req'd. Recd. Not Re(
WORK El BLD. El PLMB.MECH: El M.H. ❑POOL
of EXEMPTION
DESCRIBE WORK K. FEES COLLECTED
s. S T-RL.1_ CE 4 O R.te
VALUATION Source GAS ELECTRIC WATER FSEWER
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 Plumbing
performance of construction.
DATE SIGNATURE— Mech.
SPECIAL APPROVALSSPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATE ` �FFI
APPR OR ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $ .60
WHEN MACHINE VALIDAI
THIS BECOMES A )PERMIT.
fis/ n
DATE
PERMIT NUMBER
04* *7.00
*7.00 N
*7,000
E *0.00 n
6626
10-24-79
2 6479, r
IS SPACE,
J"/Z *7.000.1-
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIts
JOB ADDRESS
-17"
LEGAL DESCRIPTION — SEE ATTACHED
1
BLOCK
LOT
SU DIVISION
PARCEL NUMBER/S
2.
OWNER
PHONE
W0EMF-14L—
C) tj
412079-40W
3.
ZIP
Required Set Backs in Feet
ADDRESS
D
qq
-V1
North South East West
CONTRACTOR
PHONE
Size of Parcel Zone Classification
t COtiI
-
4.
ZIP
Type Const. Occupancy Sprinklered
ADDRESS
Jr
9V❑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 KNEW ❑ ALT. ❑ AD -N. ❑ RPL.- ❑ MVE.
7• OF El OTHER CERTIFICATE Req'd. Recd. Not Re(
WORK El BLD. El PLMB.MECH: El M.H. ❑POOL
of EXEMPTION
DESCRIBE WORK K. FEES COLLECTED
s. S T-RL.1_ CE 4 O R.te
VALUATION Source GAS ELECTRIC WATER FSEWER
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 Plumbing
performance of construction.
DATE SIGNATURE— Mech.
SPECIAL APPROVALSSPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATE ` �FFI
APPR OR ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $ .60
WHEN MACHINE VALIDAI
THIS BECOMES A )PERMIT.
fis/ n
DATE
PERMIT NUMBER
04* *7.00
*7.00 N
*7,000
E *0.00 n
6626
10-24-79
2 6479, r
IS SPACE,
J"/Z *7.000.1-