HomeMy WebLinkAbout1980, 10-27 Permit M80B-2742 Furnacer
PLAN 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 3 COPIES
JOB ADDRESS
1. 1� - (P6 (C, LEGAL DESCRIPTION — SEE ATTACHED
�LOTBCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE _
3. ADDRESS- A
/lam
ZIP
Actual Set Backs in Feet
CONTRACTOR
PHONE
North South East
Size of Parcel
West
Zone Classification
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 1:1Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS -
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
I Unfin. Basement
TYPE
.NEW El ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwelling;
7. OF
WORK ❑ BLD• ❑ PLMB. IkMECH. ❑ M.H. ❑ POOLCERTIFICATE
Req'd.
Recdof
EXEMPTION
41:10THER
DESgRIBE WORKEnum.
Dist. Location (Area)
FEES COLLECTED
VALUATION
SOURCEGAS
OF
ELECTRIC
WATERnership
USE CODE
9•
UTILITIESlic
❑Private ❑
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
Single $
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
j
DATE OF APPI WATInnI
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
lealth
anning
re Mar
meer
Plans Examiner
n PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
60
TOTAL $
PERMIT NUMBER
od r3 X74
4* *700
*7.00
*70006
A *000
274"i
10-27-80
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE
THIS BECOMES A PERMIT.
DA l EOI Cg2D'—P V PFRMI-M �iCh
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