1980, 07-15 Permit App G80-7098 FurnacePLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
J —
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
0 4* *11.00
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ,--'
f %may
LEGAL DESCRIPTION -SEE ATTACHED
,
1. f'
* 1 1.00 m
LOT
BLOCK
PARCEL NUMBER/S
I
*1 1.006
2.
E *Goo U
O N R
PkiONE
7pp
3.
709.72
A DRjE"S�S i
ZI P
Actual Set Backs in Feet
1
�l
/
�r�[--
Last
Ti IX^ G
-
North South West
07-15-80
CONTR TOR
PNE
Zone
Size of Parcel Classification
s2i� //7I
6.479.
4
A D 5
l/p/j
Type Const.
Occupancy
SDrin kleretl
❑Yes ❑No ❑ Req -d.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
_
ADDRESS
Zip
Main Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin, Basement
s.
TYPE❑ NEW ❑ ALT. ❑ AWN.❑RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7. OF ❑ OTHER
❑ BLD. ❑ PLMB. VMECH. ❑ M.H. ❑ POOL
CERTIFICATE
q'd.
Rec'tl.
of Req'tl.
WORK
of EXEMPTION
DESCRIBE WORK -_ 4
Enum. Dist.
Location (Area)
FEES COLLECTED
8 J
'AS
VALUATION
SOURCEI
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTI LOI TI ES
Public ❑Private ❑
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and kepw 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
Budding
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
Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT
—f--�
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
� ,Ovv
Env. Health
SEPA
j
Planning
r�
Mobile Home
1
Fire Marshall
e yn
n PERMIT IS NONTRANSFERABLE
MM )TNI OC Gee1T CVOIOCC IIIJC VCIrO Cof�La rIATC AC ICCIIaaII�C
Other (Specify)
0
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
u7-�i5—ab 709.85
*1100a�.-