1981, 03-05 Permit: 81A-2061 FurnaceI -AN NUMBER PERMIT NUMBER
APPLICATION/PERMIT ;
SPOKANE COUNTY - BUILDING CODES DEPARTMENT G
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESSv
1. ', �l � _ LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK ISUBDIVISIUN I PARCEL NUMBER/S
OWNER C'
PHONE
3.
ADDRESS/
ZIP
Actual Set Backs in Feet
YY
t 'V • C? % i�,t-vim h lL~'
North South East West
CONTRACTOR 1
PHONE
Size of Parcel
Zone Classification
�j
4. ADD ESS
ZIP,
Type Const.
Occupancy
Sprinklered
C ,
j
Dyes [-]No El Req'd.
`,
V
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
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF •���/// ❑ OTHER
❑ BLD. ❑ PLMB. I�MECH. ❑ M.H. El
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
$ L k! L�%fit) �: e,
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9, UTILOITIES 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
a �--e
C-� Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT -
SPECIAL APPROVALSr I SPECIAL CONDITIONS:
Plan Check
vianning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
n PERMIT IS NONTRANSFERABLE
"gp, I PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $ £Z
04* *14.00
*14.00 N
* 1 4,00
A *Q0,0 L
2060
03-05-81
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
r
0 3p-'p''� -� `l 2i0 6.1 Z` * 14 0 0 a
DATE ISSUED PERMIT NO. TOTAL