1980, 03-26 Permit App M80-2687 FurnacePLAN NUMBER
r
APPLICATION/ PERMIT
04*
VALUATION
rce
Souce
GAS
SPOKANE COUNTY —BUILDING CODES DEPARTMENT
WATER
SEWjorthe
*000
g.
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563676
03-26-80
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
Single $
JOB ADDRESS
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances goverBuilding
LEGAL DESCRIPTION — SEE ATTACHED
'
) I �.
performance of construction. `1`o
2
- Z-`� �SIGNATURE A"�n"
'
SPECIAL APPROVALS
SPECIAL CONDITIONS:
Plan Check
DEPT. REQ'D. RECD.
Env. Health
j—`'l'1'„�^' w Asn `2'°--^,.`a , 1 —3
LOT
L K
SEPA
Planning
I"r " •'O
NUMBER/S
2.
I
ISUBDIVISIONPARCEL
OWNER
3• ��
Other (Specify)
PHONE_
ZD
Utilities
�. V 6
TOTAL $
ZIP
Required Set Backs in Feet
ADDRESS
THIS BECOMES A PERMIT
SEPA Checklist +t/ �Q�
DATE OF
'16 —IqFICIAL II5 — 'O
NortM1 South West
CONTRACTOR
PHONE
Size of Parcel sificatmn
u `
C $ -�
4'
ZIP
Type Const. OccupancySprinkleretl
ADDRESS
❑No ❑ Req'd.DESIGNER
PHONE
Valuation rea in Sq. Ft.5.
ZIP
DWL Area
Basement Arerea
EwN
StorageCHANGE
ADDRESS
OF USE FROM
TO
Split Entry
SplRancherNo.
Baths
No. Floorsms
Rec. RoomTYPE
4 NEW
❑ ALT.
❑ AD'N.
❑ RPL. ❑ MVE.J
OF
11 BLD.
❑ PLMB.
G4 MECH:
❑ OTHER
❑ M.H. ❑ POOL
CERTIFICATE
Rec'tl.
Not Req'd
WORK
of EXEMPTION
DESCRIBE WORK I ` I^
FEES COLLECTED
04*
VALUATION
rce
Souce
GAS
ELECTRIC
WATER
SEWjorthe
*000
g.
of
Utilities
03-26-80
X%t
f 6479.
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances goverBuilding
type of work will be complied with whether specified herein or not. The granting of a permit does not
to give authority to violate or cancel the provisions of any other stafp or local law regulating constructioPlumbing
performance of construction. `1`o
2
- Z-`� �SIGNATURE A"�n"
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
Plan Check
DEPT. REQ'D. RECD.
Env. Health
j—`'l'1'„�^' w Asn `2'°--^,.`a , 1 —3
n" l�K-to
SEPA
Planning
I"r " •'O
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities
�. V 6
TOTAL $
Zone Clearance
WHEN MACHINE VALIDA"
THIS BECOMES A PERMIT
SEPA Checklist +t/ �Q�
DATE OF
'16 —IqFICIAL II5 — 'O
r PERMIT NUMBER
M-
DATE 3
04*
*700
*7.00 N
*7006
E
*000
26a6;F
03-26-80
f 6479.
i bPAUt,
268.7= *7.0000