1983, 10-07 Permit 83B-081 Damper, FurnacePLAN NUMBER
APPLICAT!GOUPERMIT
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
1.
1
DDRESS
LOT
2.
BLOCK
3.
AILING ADDRESS
SUBDIVISIO
P! ONE
V
PHONEr-
C9NTR AT4. M C
ADDRESS /
DESIGNER
5. ADDRESS
LICENSEE PIR
REYNOLDS FURNACE CO.
N. 6303 SUTHERLIN
SPOKANP, WA 99208
CHANGE OF USE FROM Ph: 327-1924 TO
SPOKANP, WA 99/08
PHONE
ZIP
PHONE
ZIP
TYPE ❑ NEW
7. OF
WORK ❑ BLD.
LT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ OTHER
❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
DESCRIBEWORK//
SOURCE GAS ,o
UTILITIES
OFlr/
VALUATION
9.
.�• t' 71
ELECTRIC
WATER
PUBLIC ❑
PRIVATE 0
SEWAGE
SEPTIC ❑
SEWER 0
PARCEL NO.
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North South
Size of Parcel
Type Const.
Occupancy
New Const. Valuation
Main Floor
East
West
Zone Classification
Residential 0
Commercial ❑
Spr'nklered
❑Yes ❑No ❑Req'd.
Remode ed Valuation
Upper Floors Garage/Storage
Cover Deck
No. Baths
Uncv. Deck
No. Floors
Certifi. of Exempt.
or Variance
Total Bldg. Floor Area
Fin. Basement
Greenhouse
No. Fin. Rooms
Required
Received
Yes 0
Yes ❑
No ❑
No r
Unfin. Basement
No. Dwellings
Number
Shorelines/Flood Hazard
Yes NotApplic. ❑
Plans Requ'red ❑
Received 0
Ownership
Public 0 Private 0
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 au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF !, )
OWNER OR AGENT
APPLICATIOtry
DATE
SPrzlAL 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)
6r
TOTAL $ I
PERMIT NUMBER
f7-e-n(51
FILE COPY
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10 07-85
DATE ISSUED
PERMIT NO. 8. 1 z
*1 4, 0 0 IDIAL