1981, 05-06 Permit G81A-4389 Furnace in GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBER
gib 4-3c�
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
/04,09 SUBDIVISIONALLa.y wAY
LOT BLOCK S
OWNER
3. PA U M . DAl/) S
ADDRESS
. /0 Go 7 vALL. -y wAy
CONTRACTOR
4.
PHONE
ZIP
`79zo6
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South East (West
Size of Parcel Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PHONE
ZIP
TO
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. pS MECH. ❑ M.H. ❑ POOL
❑ OTHER
Valuation Building Area in Sq. Ft.
Main Floor Upper Floors Garage Area Storage
Area of Decks
No. Baths
Finished Basement
Unfln. Basement
No. Stories No. Rooms No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
Not Req'd.
DESCRIBE WORK
8. 6AS RIMAc.IE fist4 AIZAcl—
VALUATION SOURCE GASOF ELECTRIC WATEiot
9. UTILITIES
Odo 13-IU J
SEWER
Enum. Dist.
Ownership
Public 0 Private 0
Location (Area)
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 a permit does not presume
to give authority to violate or cancel the provisions of any other state or local la r ulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION • ~ ,S - r t
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
Ci")
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
04* *18.00
* 1 8.00 V)
* 1 8,006
A *0.00
438.8z
05-06-81
z 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
BuildiIan
r
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
• i0 51*.1, 6 - 8 j1i 4 3 8. 9 z
DATE ISSUED
I' 8,O,O:a F`
PERMIT NO. TOTAL