1983, 09-29 Permit 83A-9684 FurnacePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. E. 9220 Cataldo
LOT
2.
BLOCK
SUBDIVISION
3.
4.
5.
OWNER
Joe DeFelice
P62- 1063
PHONE
PARCEL NO.
LEGAL DESCRIPTION:
MAILING ADDRESS
E. 9220 Cataldo
CONTRACTOR
STURM Heating
ADDRESS
E. 204 Indiana
DESIGNER
1fygySI ES
ZIP
99206
PI3o -4505
ZIP
99207
PHONE
Actual Set Backs in Feet to:
North ISouth
Size of Parcel
Type Const.
Occupancy
New Const. Valuation
11 Zone Classification
East
West
Residential 0
Commercial 0
Spr nklered
0Yes ❑No ❑Req'd.
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE 142NEW ❑ ALT. ❑ AD'N.
7. OF ❑ BLD.
WORK
0 PLMB. IR MECH.
❑ RPL.
0 M.H.
❑ MVE.
❑ POOL ❑ OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Varlance
Required Yes°
Received Yes❑
No ❑
Non
Number
8.
DESCRIBE WORK
VALUATION
9.
Ins ta,ll c as100 Elr>,ace
''t�� PUBLIC 0 1 SEPTIC D
ES PRIVATE ❑ SEWER ❑
SOURCE
UTILLIITI
GAS
X
ELECTRIC
Shorelines/Flood Hazard
Yeso Not Applic. 0
Plans Requ red ❑
Received O
Ownership
Public 0 Private ❑
I hereby certify that I have read and examined this appl'cation 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 au-
thority to violate or cancel the provisio of any other state or local law regulating construction or te per ormance
of construction. SEE REVERSE SIDE F R REQUIRED IN ECTIONS /
SIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE //
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER ,-•�
,6
04* *1600
* 1 6.00�
A *0.00
968.3p
09.-29-83
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09-29'-83
DATE ISSUED
968.0
*16.000.H
TOTAL
PERMIT NO.