HomeMy WebLinkAbout1980, 07-08 Permit: 80-6767 FurnacePLAN NUMBER
A
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS1. `, L" 0
LEGAL DESCRIPTION -SEE ATTACHED
LOT BLOCK SUBDIVISION I PARCEL NUMBER/S
2.
OWNER
3.
ADDRESS 3 J I ,
CONT T��OfR
i`r x l
4' ADDRE ^
,—ft
DESIGNER
5. ADDRESS
SCD
CHANGE OF USE FROM ITO
6.
TYPE Y1WEW
7, OF
WORK ❑ BLD.
PHONE
ZIP
(PHONE
'I
24 -
PHONE
ZIP
❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ OTHER
1:1PLMB. KMECH: ElM.H. 1:1 POO L
DESCRIBE WORK
8. �-1;z� I<- L�-)
Required Set Backs in Feet
North South
East West
Size of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
OWL Area
Basement Area
Garage Area
Storage
Split Entry
Split Level
Rancher
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
Req'd.
I Rec'd.
Not Re
of EXEMPTION
FEES COLLECTED
VALUATION Source GAS U ELECTRIC WATER SEWER
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 regulatin construction or the
performance of construction.
Plumbing
DATE `� �d 011 SIGNATURE�Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
nFPT RFO'n RFr'n I Plan Check
Env. Health #
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
DATE OFFICIAL (riiLL
APPROVED FOR ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATE
THIS BECOMES A PERMIT.
PERMIT NUMBER
`4* 2
DATE & > 10
04* *7,00
*7.00 to -
7. 0 006
o-7.0006
E *000 00
67662
07-08-80
2 6479.
676,723 *7,00°