1981, 05-14 Permit G81M-4132 Pipingto FurnacePLAN 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
JODD /E
LOT BLOCK SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
WNER'
3. A PRESS
4.
HONE
ADDRESS
DESIGNER
ZI P
mr-
North
Size of Parcel
Actual Set Backs in Feet
'South )East
West
Zone Classification
IP
1 %' '1-o4
PHONE
Type Const.
Valuation
Occupancy Sprinklered
❑Ves ❑No ❑ Req'd.
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors • Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
8.;
9.
TO
❑ NEW bAELT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
SOURCE
OF
UTILITIES
WATER
❑ OTHER
SEWER
Finished Basement
Area of Decks
No. Baths
Ownership
Public 0 Private 0
No. Stories
USE CODE
Unfin. Basement
No. Rooms
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 INSPECTIONSO
DATE OF APPLICATION I ` SIGNATURE OF APPLICANT'" cT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B 'Id' Techn
SPECIAL CONDITIONS:
1-A-e,--‘• /E'er
6 -:,ram =-yam *%'1"elA
4:7
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
Not Req'd.
FEES COLLECTED
Single $
Building /O' '1'1
Plumbing
Mech. ^ Ll
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
�l�wtic k,
,> � i ,�� 1
04* * 1 2,00
*12,00 N
*1200U
A *000
41 3.1 2
04-30-81
2 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
413.2 *1200
O
aI-
PERMIT NO. TOTAL
•
1