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1979, 10-19 Permit: 79-6344 Furnace, Heat PumpPLAN 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 1. N 3/2o LOT 2. BLOCK 344 LEGAL DESCRIPTION – SEE ATTACHED SUBDIVISION PARCEL NUMBER/S OWNER F - J 3 / N'k 414 AI P E /P ,5 N fdt1 Sr AI ADDRESS N 3/20 5KTLIS/ CONTRACTOR 4 CUSTOM I-%eA-T!/v(- Co 5. ADDRESS DESIGNER PHONE neve 93a3 PHONE 9 2_-L.-3 ZIP '79 2-06 PHONE ADDRESS ZIP Required Set Backs in Feet North 'South East (West Size of Parcel Zone Classification Type Const. Occupancy Sprinklered ❑Ves ❑No 0 Req'd. Valuation Building Area in Sq. Ft. DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 0 NEW 7. OF WORK 0 BLD. ❑ ALT. 0 AD N. 0 RPL. 0 MVE. ❑ PLMB. 0 MECH: ❑ M.H. 0 POOL 0 OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. DESCRIBE WORK . ff 8./4/STh1LL j'L.Rcr-n';c Fa1/pH 4tCi- V-r6HT Porch', VALUATION 9. Source of Utilities GAS ELECTRIC 1— 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 /U — / 7 — 7 7 SIGNATURE DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: - DATEiv AP' i ED FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Horne • 3.6" Other (Specify) TOTAL s!7,Po PERMIT NUMBER 79 - 6.3 DATE 04* *1300 *1300 *13006 •E *000 8 •63438 10=19-79 3 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1 CH:19: _, 719 613 4' 4 z *1 3, 0 ,0 2-