1980, 06-27 Permit: 80-6431 FurnacePLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
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 LEGAL DESCRIPTION — SEE ATTACHED
1. e. i,e,S' —??;r/-/
LOT I BLOCK jSUB-IVIbI0N PARCEL NUMBER/S
2.
OWNER PHONE
3. /&/ 1? .tis/•epc7 Z 7-761
—
ADDRESS c�+,�, ZIP Actual Set Backs in Feet
Q 3�Z �IC1/i . Z/ North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
I► A bWR ti' vv j r¢/c
zs-eeloo
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
p%�5 I�/�S l�-Gp
Z
[:]Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5' ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
I Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE ❑NEW El ALT. ❑ 'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. ElPLMB. MEC H. ElM.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist. I Location (Area)
FEES COLLECTED
8• EGFCT/2 U� V/7+C� A -(v
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES Public ❑ Private El
I 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,
sBuilding
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
�� ,
Mech. %M+.�
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Planning
Fire Marshall
Co. Engineer
es
ns txaminer
BuiVechnician PERMIT IS NONTRANSFERABLE
���o PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $2cpe:>
Ci 11 *7,00
7. (-i (j m
0c
00
646,0-2
06-27-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0115'�27' 80 643.15
DATE ISSUED PERMIT NO.
*7,00.°
TOTAL