1981, 01-08 Permit G81A-0196 FurnacePLAN NUMBER
APPLICATION/PERMIT
/Y5 PESPOKANE COUNTY - BUILDING CODES DEPARTMENT
PERMIT NUMBER
btA - .01(if2
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
. E. 1061 Broa.dwa.
LOT BLOCK
JUL3U1 V IJI VIV
OWNER
3 Tupper Realty
ADDRESS
E. 12929 Sprague
CONTRACTOR
4 A&M Qu l i ty Heating Tnr
ADDRESS
E. 12710 Indiana
5.
6.
D SIGNER
Same
ADDRESS
Same
CHANGE OF USE FROM
TYPE
7, OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
PHONE
922-3200
ZIP
99216
PHONE
928-2100
ZIP
99216
PHONE
ZIP
TO
❑ AD'N.
a MECH.
a RPL.
❑ M.H.
❑ MVE.
O POOL
❑ OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North
South East
Size of Parcel
Type Const.
Occupancy
Valuation
Main Floor
Upper Floors
Area of Decks
No. Baths
Zone Classification
Building Area in Sq. Ft.
Garage Area
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Storage
Unfin. Basement
No. Rooms
Req'd.
DESCRIBE WORK
s. Replace gas furnace with new one
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private ❑
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 1-5-81 SIGNATURE OF APPLICANT -
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Ga.s Furnace change out ,000
No. of Dwellings
Rec'd- Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
7.00
Other (Specify/
R', `t'A
TOTAL $
04* *1600
* 1600
* 1600M
A *0.00
1 9.5
01-08-81
z 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
nician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
196Z *16.002g -
PERMIT NO. TOTAL