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1981, 02-24 Permit: 81A-1783 Gas Pipe for Bunson Burners!PLAN NUMBER APPLICATION /PERMIT SPOKANE COUNTY - BUILC•'NG CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 3 JOB DRESS 0256 LOT BLOCK OWNER ADDRESS SUBDIVISION LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER /S PHONE ZIP CON RACTOR 4. 4k,. ADDRESS /11 , 2 oQ DESIGNER ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK PHONE ZIP TO 1 1.-TT=W ❑ ALT. 0 AD N. ❑ RPL. ❑ MVE. ❑ BLD. ❑ PLMB. M MECH. ❑ M.H. ❑ POOL ❑ OTHER Size of Parcel Type Const. Occupancy Valuation Zone Classification Sprinklered ❑Yes ❑NO ❑ Req'd. Building Area in Sq. Ft. Main Floor Upper Floors Garage Area Storage Area of Decks No. Baths Finished Basement Unfin. Basement No. Stories CERTIFICATE of EXEMPTION No. Rooms Req'd. No. of Dwellings Rec'd. Not Req'd. DESCRIBE WORK 8..da ° fp VALalkT 9. SOURCE OF UTILITIES Enum. Dist. Location (Area) GAS ELECTRIC WATER SEWER Ownership Public ❑ Private ❑ USE CODE 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 authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION a- c` j 3— Q 1 SIGNATURE OF APPLICANT • C SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SPECIAL CONDITIONS: 0-0-c k --e- PERMIT IS NONTRANSFERABLE (3)�� Ppjl= 2-_° 00 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing J Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL PERMIT NUMBER et - 1.78'3 04* *30.00 *3000 V) *30.006 A *0.00 8 1 782 02 -24 -81 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0 2142 E —'8 ° . DATE ISSUED PERMITNDr &3Z *3t#JF INSPECTION RECORD OWNER LOCATION CONTRACTOR N S E W SET BACKS TYPE OF WORK FINAL INSPECTION: /1:7 DATE REMARKS: -362-1---( file , N NUMEE0 • APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH St I JEFFERSON 1 SPOKANE. WASHINGTON 9•180 / (509)4563675 APPLICANT: COMPLETE NUMB RED SpACES - 10 MAKE 3 COPIES "r°710 2 2. LOT • CR SU ITMI ADDRESS NEN 41A-AnIc-r2A1 PHONE LEGAL DESCRIPTION - SEE ATTACHED PARCEL ritRABCR/S ZIP 6. .77Arg Me-o-t*_/ gozg 69..7.0 PHONE Actual Set Bunt In MO Notth 'South Size of Par. Vatuation Sett iWai Zone ClessIticallon SpilEklitred OVos Delo 0 MEM. ailerons Arm In.!. Ft. AOCIREISS ZIP am CHANGE OF USE FROM ft TCI TYPE N.M./ 0 ALT. 0 71.1, 0 RPL. MVE. WORK 0 01.0. 0 'LAM. ff-RIECH. 0 M.H. 0 POOL 014 101 Docks I Finished easement I Unite. Basement No. EatIn I No. Storles No. Rooms ro. of coveliineo CERTIFICATE of EXEMPTION 9. $4t671aeso■til OAS UTZIES ELECTRIC . WATER !CRIER WORK SEWER CRUM. OM. reellon (Arm' OVRIPAIIIR PM corm Public ['Private 0 1 hereby certify DIM I nine rem, oilil et.iiiiiite0 ilio too. ..1111 11 '4) Dle "(2 i on tienttSe and hen: e tattle In Re tine ind • 79000) 010111 0,21,1110, wth whothet lIleCiIllllI 1 ub' ' to don authoi.tv to vboloic ■■■ canCel the 000i0111111 01 on: ■■• • . performance id ConSiteetion. SEE REVERSE SIDE FOR RE00111[0 INSPECTIONS 0 111 0, t Leh ettil 1 901111 1111.. 1111. eon firestone ',..11,01 trie SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE /00 P.41-0-• MS COLLECTED Single Building Plumbing Plan Cneck SEPA Mobile Hon. Other (Specify) 0,.) TOTAL S * IPERMITt rir_BERtio 01(3 °3C00 1 • 30000 .000 1 7.82. 62-24-8.1 R 6479.