1981, 10-16 Permit G81B-768 Oil to Gas BurnerPLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 1� 7(08
rn NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 -COPIES
JOB ADDRESS
� tet; 1 u 1 LEGAL DESCRIPTION -SEE ATTACHED
3. vnrvly 1
ADDRESS
ZIP
Actual Set Backs in Feet
f'. 0,BO 1 63
2
North South East
West
CONTRACTOR
PHONE
Size of Parcel Zone Classification -
4. at' W S Co'72-o'-2.2-06
ADDRESS
ZIP
Type Const.
Occupancy
Sprinkleretl
A p IZK �/
t. SA - C tcry/1sG(Z�-S
O 16
11Yes []No ❑ Req'tl.
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. ❑ A 'N. ❑RPL. 11 MVE.
No. Baths
No. Stories
Na. Rooms
No. of Dwelling
7, OF ❑OTHER
CERTIFICATE
Req -d.
Rec'tl.
Not Req'tl
WORK El SLID. 11PLMB. MECH. ❑ M.H. ❑POOL
of EXEMPTION
_
DESCRIBE WORK
Enum, Dist.
Location (Area)
S• e 9o4v g-SION FItDt%k OIL 'To GtlhG $U
FEESCOLLECTED
VALUATION SOURCE
ELECTRIC WATER
SEWER
Ownership
USE CODE
LI
9. UTILITIES
F55AS
I
Public ❑Pflvate
1 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 SIDE FOR REQUIRED INSPECTIONS
Plumbing
/REVERSE
L
DATE OF APPLICATION, SIGNATURE OF APPLICANT
Sem_
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
25,— t x
71 —��tf
Plan Check
Env. Health
1
f/u/p2E;.V /OO ov B/TJ
SEPA
Planning
Mobile Home
ISjUA, 0�0�
Other (Specify)
OO
TOTAL $
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE 1 .-,4h�41-18$1E
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
04* *1800
*18.00 Iji
*1800
A *0.00
7672
'10-16-81
:2 6479,
IIN INib 51'AUtz,
71,689
PERMIT NO.
*i& OILS -
TOTAL