1980, 08-29 Permit M80-9310 Furnace\PLAN NUMBER
1
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. EJO3)7 EfR_ .TT pi?
LOT BLOCK SUBDIVISION
2. I
OWNER
3. C3-f \4
ADDRES
CONTRACTOR
/-1 h\)C'�- . AIR konr)
4' ADDRESS _
DESIGNER
PHONE
ZIP
6(±QC��
PHONE
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South
Size of Parcel
Type Const.
Occupancy
East (West
Zone Classification
Valuation
Sprinklered
❑Yes 0No ❑ Req'd.
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor 1 Upper Floors Garage Area
CHANGE OF USE FROM
6.
T
TYPE
7, OF
WORK
NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
g MECH.
❑ RPL.
❑ M.H.
❑ MVE.
D POOL
0 OTHER
Storage
Area of Decks 1 Finished Basement Unfin. Basement
No. Baths
No. Stories No. Rooms
CERTIFICATE
of EXEMPTION
Enum, Dist. Location (Area)
Req'd.
INo. of Dwellings
Req'd. 'Not Req'd.
DESCRIBE WORK
A J + �. T
8. � KM -PVT I' 4� t IV t�` E. �/ l�Cl L yV C� � USE CODE
VALUATIOSOURCE GAS r ELECTRIC I WATER SEWER Ownership
te
I Public 0 Private ❑
9 TIO TIES
I 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
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
DATE OF APPLICATION_O --t f —f
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Enginee
Utilities
Plans Examiner
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL $ / • 0n
M
11-'C r<TV, I 1 rvv,vi 41 a-..
04* *7.00
*7,00 rn
*7,006
E *0.00 8
930.9�
08-29-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist
Building Technician
PERMIT IS NONTRANSFERABLE
OGRIMIT FXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
931,Dz
PERMIT NO.
*7,00°H—
TOTAL