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1981, 02-25 Permit: 81A-1800 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 3 COPIES 1. 2. 3. 4. JOB ADDRESS S. 1710 Burns Rd. LOT BLOCK LEGAL DESCRIPTION — SEE ATTACHED SUBDIVISION PARCEL NUMBER/S 5. OWNER Hi rrinho'',ton Cons cm Co. A D D -€SS +.. 11(711 3t 1-.h CONTRACTOR Anderson's HeatinP: & Air Cond. PHONE 924.-1583 ZIP HONE F P 928-0960 Actual Set Backs in Feet North !South East 'West Size of Parcel 1 Zone Classification ADDRESSSSl D �IGN/ER5 M?'ncficld ZIP 9701] PHONE Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. Valuation 1Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Area of Decks Finished Basement Unfin. Basement WJ NEW ❑ ALT. �❑Ap N. ❑ RPL. ❑ MVE. ❑ BLD. ❑ PLMB. LIG MECH. ❑ M.H. 0 POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. DESCRIBE WORK 8. 2n1 e1A tr.j c VALUATION SOURCE OF 9. UTILITIES imam & dU/�LEG{YO FNx Enum. Dist. ILocation (Area) WATER SEWER Ownership Public 0 Private 0 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 2/2)t/81 SIGNATURE OF APPLICANT C( PIC. Jl Ci.'L1�C.�j C,'✓� sw� SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist •i 0 . 3.1) e. PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing ill Mech. / / • "' Plan Check SEPA Mobile Home Other (Specify) L� TOTAL $ PERMIT NUMBER 04* *14,00 *1400 *1 4.00 A *000 8 179,9 02-25-81 6.4 7 9, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0242,5i81' 180.04 *1400a � DATE ISSUED .,• ERMIT NO. TOTAL } O IJ w