1980, 07-23 Permit: 80-7530 FurnacePLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
61 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS -7 7 h LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3.-'�'
ADDRESS ZIP Required Set Backs in Feet
North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
` !Z C -i �z,C1 ❑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 No. Rooms Rec. Room
TYPE NEW El ALT. ElAD'N. ❑ RPL. ElMVE.
7, OFr� ❑ OTHER
WORK El BLD. BLD. ❑ PLMB. MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE w0RK FEES COLLECTED
VALUATION Source GAS 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 regulating construction or the
performance of construction. Plumbing
DATE ?1 - 1 SIGNATURE &� � Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT_ REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
Mobile Home
Other (Specify)
C
TOTAL $
WHEN MACHINE VALIDATE
^ THIS BECOM S A PERMIT.
DATE OFFIC!gab
APPR OR ISSUANCE
PERMIT NUMBER
DATE_/`Zl~ � O
04* *7.00
*7.00
*7,006
E *0.00
7529;
07-23-80
R- 6,479,
7 51, 0 z * 7.0 0. a:
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