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1979, 07-05 Permit: 79-112 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 LOT LO K SUBDIVISION OW ER e 3 Y/ 4- Qd� ?774h ADDRESS N30216 Die 14 Rd CONTRACTOR 4. )3ud jet l',/ CO: ADDRESS ,4'(TYeebe S -24 - DESIGNER PHONE Age - ZIP PHONE ADDRESS CHANGE OF USE FROM 6. TYPE 7, OF WORK ❑ NEW ❑ BLD. ce I ❑ ALT. ❑ PLMB. ZIP PHONE ZIP TO S' ❑ AD'N. 6 MECH: E RPL. ❑ M.H. ❑ MVE, ❑ POOL E OTHER DESCRIBE WORK . 51°,661© Rern°ve d�/ l=t4r9ti, Rc?/4c J)/ALUATION / Source of Utilities GAS X ELECTRIC LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S Size of Parcel Type Const. Occupancy Valuation DWL Area Basement Area Split Entry No. Baths Sprinklered ❑Yes ENo ❑ Req'd. Building Area in Sq. Ft. Garage Area Split Level No. Floors CERTIFICATE of EXEMPTION WATER Storage Rancher No. Rooms Rec. Room 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 -5-,/ SIGNATUR) Er W� QY DEPT. SPECIAL APPROVALS REQ'D- REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: „vU / DATE OFFICIAL APPROVED FOR ISSUANCE FEES COLLECTED Single Building Plumbing Mech. hCSA / v?'e;79 Plan Check SEPA Mobile Home Other (Specify) $ TOTAL $ s -O DATE PERMIT NUMBER 77- 112- 7-0--2 04* * 1200 * 12.00 1 1. 1 2 07-05-79 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 07-05-79 11,22 *12,00a1='