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1979, 08-16 Permit: 79-2349 FurnacePLAN NUMBER APPLIL ..:ON/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 Isn 40 LOT BLOCK SUBDIVISION cs,r,11 LEGAL DESCRIPTION — SEE ATTACHED OWNER -c ADDRESS • o -a9-K, CONTRACTOR 4 fl�erdo� Cur'hac.Q ' ADDRESS PHONE ZIP PHONE ..).–CtZs 2— PARCEL NUMBER/S Required Set Backs in Feet North 'South East West 93z:9 '16'e-vr DESIGNER 5' ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK !ANEW ❑ BLD. O ALT. O PLMB. PHONE ZIP TO ❑ AD'N. • MECH: ❑ RPL. O M.H. ❑ MVE. O POOL 0 OTHER Size of Parcel Type Const. Valuation Occupancy Zone Classification Sprinklered ❑Yes ❑No 0 Req'd. Building Area in Sq. Ft. DWL Area I Basement Area Garage Area Split Entry Split Level No. Baths No. Floors No. Rooms CERTIFICATE of EXEMPTION Req'd. DESCRIBE WORK 8. -k-i r[ S c. D \ UJ U VALUATION 9. Source of Utilities GAS ELECTRIC xx 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. \i 1 DATE SIGNATURE J DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE Storage Rancher Rec. Room Rec'd. Not Req'd. FEES COLLECTED Single $ Building Plumbing Mech. ' D C,r Plan Check SEPA Mobile Home Other (Specify) TOTAL $ ' 0 4/ PERMIT NUMBER DATE 04* A 234,82 08-16-79 2 6479. *7.00 *700 5 *7008 *Q00 8 WHEN MACHINE VALIDATED IN THIS SPACE, 7HISu-8COMESA-9-PERMIT. 23492 *7.00°H. c L DATE RECORD OF INSPECTIONS Final Inspection REMARKS INSPECTED BY 2-‘1.10 oii-JF-AO 4_.00