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1979, 08-09 Permit: 79-1876 FurnacePLAN NUMBER APPLICATION /PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS BALFOUR, S. 2519 LOT BLOCK SUBDIVISION OWNER 3 ROYMAN THOMAS ADDRESS SAMF CONTRACTOR NORCO HEATING 4. ADDRESS E. 5051 Trent 5. ADDRESS DESIGNER CHANGE OF USE FROM 6. TYPE 7. OF WO RK PHONE 924 -0409 ZIP PHONE 534 -4975 ZI P 99206 PHONE ZIP TO ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ❑ BLD. ❑ PLMB. GiaISECH: ❑ M.H. ❑ POOL ❑ OTHER LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER /S Required Set Backs in Feet North South East (West Size of Parcel Type Const. Valuation DWL Area Split Entry No. Baths CERTIFICATE of EXEMPTION Zone Classification Sprinklered Oyes ❑No ❑ Req'd. Building Area in Sq. Ft. Garage Area Split Level No. Rooms Storage Ranche Rec. Room Req'd. Rec'd. DESCRIBE WORK GAS FURNACE REPLACEMENT 100,000 1 " 10' VALUATION 9. Source of Utilities GAS XXXXXX ELECTRIC WATER SEWER 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 authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. DATE SIGNATURE SPECIAL APPROVALS DEPT. REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE 7 Q /OF APP' i ED FOR ISSUANCE Not Req'd. FEES COLLECTED Single $ Building Plumbing Mech. GAS 144 Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 12.00 G PERMIT NUMBER 7'2`- 1S -767 DATE August 9, 1979 * 12.00 * 1200 * 12006 *000 8 187,52 08 -09 -79 2 6479, w _ w WHEN MACHINE VALIDATED IN THIS SPACE, THIS B A 0� —COM 0 l'EtyM IT. 187.6 *12002 DATE REMARKS RECORD OF INSPECTIONS Final Inspection INSPECTED BY OR—ca —. c) 1c% V #Q()('. 2 *1500R *1)00 P °'tt* *1500