1980, 06-19 Permit: 80-6000 FurnacePLAN NUMBER
r
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPE NEW 1:1 ALT. 1771 AD'N. El RPL. MVE.
❑
7, OF 11 OTHER
WORK ❑BLD. ❑ PLMB. 9MECH. ❑ M.H. ❑ POOL
No. Baths
APPLICANT:
COMPLETE NUMBERED SPACES- PRESS
HARD TO MAKE 3 COPIES
CERTIFICATE
JOB ADDRESS
—7w
Not Req'd
of EXEMPTION
4E. .-7
--47
DESCRIBE WORK Enum. Dist. Location (Area)
8. ` "— I = '-7—>,41--r—
LEGAL DESCRIPTION - SEE ATTACHED
VALUATION I SOURCE GAS LECTRIC WATER SEWER Ownership USE CODE
OF
LOT
I BLOCK
SUBDI ISION
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
PARCEL NUMBER/S
2.
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
DATE OF APPLICATION SIGNATURE OF APPLICANT
OWNER
SPECIAL APPROVALS SPECIAL CONDITIONS:
PHONE
Plan Check
3.
�r
AD CA ESS
J
ZIP
e �4i
Actual Set Backs in Feet
CONTRACTOR _
`e,
PHONE
t
North South
Size of Parcel
East West
Zone Classification
4.
-95-
,-- ... � ...._
ADDRESSt-4ja
..
IP
Type Const.
Occu ancy
p
S rinklered
p
� may,
1.0
Dyes ❑No ❑ Req'd.
DESI NER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE NEW 1:1 ALT. 1771 AD'N. El RPL. MVE.
❑
7, OF 11 OTHER
WORK ❑BLD. ❑ PLMB. 9MECH. ❑ M.H. ❑ POOL
No. Baths
No. Stories
No. Rooms
No. of Dwelling
CERTIFICATE
Req'd.
Recd.
Not Req'd
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8. ` "— I = '-7—>,41--r—
FEES COLLECTED
VALUATION I SOURCE GAS LECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private Cl
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Hez
Planning
Fire Mar
o. Engineer
Utilities
Plans Examiner
SEPA Checklist
SEPA
Mobile Home
A
Other (Specify)
ng Ii ecnjcian PERMIT IS NONTRANSFERABLE
XL -AV%)ftyrao PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
TOTA L $ 7, &_
PE.':fvllT C41MBER
C —cc co`/
04* *7.00
*7,00
*700
6 *0,00 181
599.9
06-19-80
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO.
TOTAL