1981, 04-01 Permit G81A-2990 Furnace.AN NUMBER
3
LM
JOB ADDRESS
LOT
OWNER
BLOCK
ADDRESS
CONTRACT• ) iZf
.G('SDIJ h
4. ADDRESS
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
APPLICA 1 gyre/ ■■ ■
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
ES
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD DESCRIPTION
O MAKE 3 COPI SEE ATTACHED
LEGAL
L/ ,l3 2. 3RD
SUBDIVISION
TYPE
7, OF
WORK
�JDESCRIBE WK
R
$/�, SOURCE
OF
UTILITIES
F.S. 0h
4('/ 3 �'. 3 �)
.er✓I� -
❑ NEW
O BLD.
VALUATION
❑ ALT.
❑ PLMB.
TO
❑4, Aj�' N .
L� MECH.
d
0 M.H.
PHONEi/»IOU
ZIP
9aa
PHONE 7333
535—
ZIPggaol,
PHONE
RPL. 0 MVE.
0 POOL
0 OTHER
PARCEL NUMLR/S
Actual Set Backs in Feet
North South
Size of Parcel
Type Const.
Valuation
�5 urr *CC ''�0;:rLabe
the
Occupancy
Main Floor
East
Upper Floors
Area of Decks
No. Baths
West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist. Location (Area)
Storage
Unfin. Basement
No. Rooms
Ownership
Public ❑ Private
❑
Req'd.
USE CODE
g, lication and have read "NOTICE" provisions included
I hereby certify and
I have read and examined this application
whetheron
specified herein or not. The granting of apermit does of presume
me
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
to other state or local lawregulating
type of `Mork will be complied withprovisions of any
to give authority to violate or cancel the p
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
a
DATE OF APPLICATION
SPECIAL APPROVALS E
NAME
Env. Health
Planning
Fire Marshall
Co. Enginee
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
LeickA 75
ovo
NV GetsAt rcivAce .
fijoilig /5 iNc..17 pe.
aria '
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
Rec'd.
Not Req'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
$J`
:
Other (Specifylx' ��
P1
TOTAL
r� � ;�> I as •—� ,� � I
04*
* 1 8,00
* 18.00
* 18.006
A *0,00
29a92
04-01-81
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
04;01;8'l
299.02
DATE ISSUED PERMIT NO.
*18,00° 1:1-
TOTAL
Te, i ian
L. , �-?