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1981, 06-23 Permit: 81A-6256 Furnace, PipingPLAN 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 3 COPIES JOB AtDDRESS l rr LOT BLOCK 3. 4. OWNER SUBDIVISION 1.1 ADD 12 ESS . CONTRACT, O I�- 1 PHONE • J>r ZIP AD ESS DESIGNER ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK P ONE 7.1975 PHONE ZIP TO NEW ❑ ALT. ❑AD'N. ❑ RPL. ❑ MVE. ❑ BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL 9. SOURCE OF UTILITIES ❑ OTHER GAS ELECTRIC WATE R SEWER LEGAL DESCRIPTION - SEE ATTACHED Actual Set Backs in Feet North South Size of Parcel Type Const. Occupancy Valuation Main Floor Upper Floors Area of Decks No. Baths Zone Classification Sprinklered ❑Yes ❑No ❑ Req'd. Garage Area Finished Basement No. Stories CERTIFICATE of EXEMPTION Enum. Dist. Ownership Public ❑ Private 0 No. Rooms Location (Area) USE CODE I hereby certify that I have read and examined this application and have read the "NOTICE" provisions includeo 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 constructiop. SEE REVERSE SIDE FOR REQUIRED INSPECTIOINS DATE OF APPLICATION (4' SIGNATURE OF APPLICANT ��.c • SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SPECIAL CONDITIONS: j4) t5r-_737 . c),r/l.�,i NL .Il i 50 N. 13,-rd) r' (i") • PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing / Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER 04* *1800 *1600 * 1 80025 A *0.00 62552 06-23-8+1 2 6479 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED 625.62 *18.0.0 ET - PERMIT NO. TOTAL