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1979, 08-31 Permit: 79-3289 FurnacePLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS DESMET, E. "4121 LEGAL DESCRIPTION — SEE ATTACHED LOT 2. 11 OWNER 3. BLOCK 1 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 - 1 Zone Classification ADDRESS ' N. 6904 Cedar Rd ZIP 99208 Type Const. Occupancy Sprinklered ❑Yes DNo 0 Req'd. DESIGNER 6' ADDRESS PHONE - Valuation 'Building Area in Sq. Ft. ZIP DWL Area I Basement Area ( Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 7. OF WORK O NEW O BLD. O ALT. 0 AD N. 0 RPL. 0 MVE. O PLMB. [ MECH: 0 M.H. D -POOL 0 OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. DESCRIBE WORK 8. ELECTRIC FURNACE VALUATION 9. Source of Utilities GAS ELECTRIC XXXXXX WATER SEWER I hereby certify that I have read and examined this applicationand 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 c+/%/rr•O FFI CIAL • APPROV 'OR ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 7.00 PERMIT NUMBER - 3 2J/ DATE August 31, 1979 04.* A *7.00 *7.00 *7.006 *000 8 32882 08-31-79 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BCOM ES A PERMIT. 08'',y131}1''779 3'21 9 z • *7,0.C,aF