1979, 09-12 Permit App G79-3858 FurnacePLAN NUMBER 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
J06 ADDRESS1. / —� LEGAL DESCRIPTION — SEE ATTACHED
3. o'
ADDRESS
G r
7 7 -WO V
I
❑Yes ONo ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
OWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE NEW E) ALT. D'N. ❑ RPL. ❑ MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7 ,.,. OF�A
Cl BLD. O PLMB. IR MECH: O M.H. ❑ POOL O OTHER
CERTIFICATE
Req'd.
Rec'tl.
Not Re rl
WORK
of EXEMPTION
DESCRIBE WORK
vOv I
FEES COLLECTED
8.
Ip Its
VALUATION
S rce
GAS
ELECTRIC
WATER
SEWER
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 Io I aw regula'hg construction or the
performance of construction.
Plumbing
3
DATE / '- / SIGNATURE
Mach.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Other (Specify)
Fire Marshall
Co. Engineer
Utilities -t
TOTAL
SERA Checklist �� ��ta - r I THIS O E A MIT.
DATE // 1/J / 7OFFICIA —� �'— 7q
.&% 1PERMIT NUMBER
-71-385
DATE — //
04* *1200
*1200 6
*12006
A *GOO 8
3857
09-12-79
;P 6.479.
385c825 *1200°
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