1981, 09-16 Permit G81A-9407 Change Out FurnacePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
PERMIT NUMBER
31A - 9407
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2.
3
4.
JOB ADDRESS
LOT
BLOC
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
fK DIVISION
llil ti(f/i iL'/L
ADD R S
/ / a? .(
CONirRACTOR f
— fff
EC) e 376 ,7
DESIGNER
J. ADDRESS
P O)N
cfezy
PHONE f27)
-70(g//7r
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South
East (West
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
8.
9.
❑ NEW
❑ BLD.
DESCRIBE WORK
VALUATION
❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
❑ PLMB. MECH. ❑ M.H. 0 POOL
SOUFICE
OF
UTILITIES
GAS
x
ELECTRIC
WATER
0 OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
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 lo.. law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPE i IONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPL
SPECIAL CONDITIONS:
AO-,00 6
I /,,,--
4/ittf‘i!,91
iI
0ain,
467 ct
Req'd.
Req'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
06
O6
TOTAL $
04* *17.00
* 17,00
* 1 7.006
A *0.00
94062
09--16-81
B 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
• Building�i� ician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
:0 9I -i 6' -' 8 i'
DATE ISSUED
940,7
PERMIT NO.
d