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1981, 11-13 Permit: 81B-1769 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 ADDRESS 1. GL}bO LOT sr/I BLOCK 2. 3. 4. SUBDIVISION DWNEIj� ,tom r- LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/5 ADDR2/,, // �-y� �y� ,. -&bZZ ✓`�\ CA/4x C'r CONTRA T R ` ORADo7 &il-/<55 r-.1S6c161sciN PHONE Wseal Actual Set Backs in Feet North (South East iWest PHONE �7 - I9 17,7-0 7 Size of Parcel Zone Classification Type Const. Occupancy Sprinklered ❑Yes DNo 0 Req'd. 5. DESIGNER PHONE Valuation Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO VIEW 0 ALT. ,/ 0,AD N. 0 RPL. 0 MVE. 0 BLD. 0 PLMB. iE MECH. 0 M.H. 0 POOL Area of Decks Finished Basement Unfin. Basement 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. B. DESrif CRIBE I�1�(i2V I2- M 1 ! �YI'V� 1 ( EWER VALUATION SOURCE GAS ELECT IC WATER OF 9. UTILITIES Enum. Dist. Location (Area) Ownership Public 0 Private 0 USE CODE I 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 INSPENS DATE OF APPLICATION / / ^ % 7 -*- / SIGNATURE OF APPLICA SPECIAL APPROVALS NAME DATE - Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Technic' r SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing • Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL PERMIT NUMBER 04* *1-9.00 *19.00 V) *19.006 A *000 0 1,7688 11-13-81 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. •1.1 i-1 + tj i�.; 117491 *19.00a PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL >- U - WHEN W