1981, 08-10 Permit G81A-7973 FurnacePLAN NUMBER
APPLICATION/PERMIT #10100
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
PERMIT NUMBER
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
E. 8122 Jackson
LOT BLOCK SUBDIVISION
OWNER
3 Mrs Behrens
4.
PHONE
926-2948
ADDRESS ZIP
E. 8122 Jackson 99216
CONTRACTOR
STURM HEATING' INC.
ADDRESS
E. 204 Indiana
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
325-4505
ZIP
99207
PHONE
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South East 'West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation Building Area in Sq. Ft.
Main Floor Upper Floors Garage Area
Storage
Area
of
Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
9.
install Carrier gas furnace
VALUATION SOURCE
OF
UTILITIES
GAS
DESCRIBE WORK Enum. Dist.
ODD Op
ELECTRIC WATER
SEWER
Location (Area)
Ownership
Public D Private 0
USE CODE
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 August 6, 1981 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
- NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buil�nician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
10.00
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
/6, 00
TOTAL $ 9A
04* *16.00
* 16.00
* 1 6.00,
A *0.00
'79'7.22
08-10-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
j Q (�i. Q(i
791,3Z *16,OO2I-2
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. TOTAL