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1979, 08-31 Permit: 79-3278 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 DESMET, E. 14104 LEGAL DESCRIPTION — SEE ATTACHED LOT 1 2. OWNER 3. BLOCK 2• SUBDIVISION Veradale Heights 14th DINERO ASSOC. PHONE 922-0702 PARCEL NUMBER/S ADDRESS N. 1014 Pines Rd ZIP . 99206 Required Set Backs In Feet North 'South East (West 4. CONTRACTOR SMITH HEATING PHONE 326-4878 Size of Parcel Zone Classification ADDRESS ' • N. 6904 Cedar Rd ZIP ' 99208 . Type Const. Occupancy Sprinklered DYes DNo D Req'd. 5. DESIGNER PHONE Valuation Building Area in Sq. Ft. ADDRESS ZIP OWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 0 NEW D ALT. 0 AD N. 0 RPL. D MVE. 7. OF % WORK D BLD. 0 PLMB. p MECH: 0 M.H. 0 POOL 0 OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8. Electric Furnace VALUATION 9. Source of Utilities GAS ELECTRIC XXXNX WATER SEWER I hereby certify that I have read and examined this applica ion 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 DEPT. SPECIAL APPROVALS " REQ'D. REC'D. Env. Health . Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE OFFI APPROVED FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) 7.00 7.00 TOTAL $ PERMIT NUMBER 79 — 327�jj DATE August 31, 1979 04* *7.00 *7.00 En *7.006 A *000 8 327.72 08-31-79 2 6479. .10111. WHEN MACHINE VALIDATED IN THIS SPACE, THIS COMES A PE MIT. U8dt;311.*:17. 3:2'785*7O0,ale