1979, 09-20 Permit App G79-4361 Gas Space HeaterPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 466-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO,MAKE 4 COPIES
JOB ADDRESS NrrLEGAL DESCRIPTION —SEE ATTACHED
�
3.
4.
5. ADDRESS ZIP DWL Area Base'
CHANGE OF USE FROM TO Split Entry
6.
No. Baths No
TYPE El NEW ❑ ALT. El AWN. ElRPL. ❑ MVE.
7, OF ❑ OTHER CERTIFICATE
WORK BLD. ❑ PLMB. XMECH: ❑ M.H. ❑ POOL
of EXEMPTION
❑Yes ❑No ❑ Req'd.
FEESCOLLECTED
DATE
PERMIT NUMBER
- 7`I - 4'�& :1
04* *900
*9.00 Inn
*9,006
E *Q00 00
43602
09-20-79
f 6479.
Single $
1 hereby certify that 1 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
Building
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.
Plumbing
DATE SIGNATURE
Mach.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Iv
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $ �
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist
�/
9
THIS(�q. COII�V A R,,TMIT.
V�'i�;L,U'�/'7
4.3:6,1z
DATE / OFFIrl �`�
*9,000.F
1 rAPPfW9) R ISSUANCE