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1983, 09-28 Permit: 83A-9617 Furnace, PipingPLAN NUMBER APPLICATION/PERM IT SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS 1. /D ee, P PARCEL NO. LOT 2. BLOCK SUBDIVISION OWNEROL�/ � 3. MAILING ADD SS PHONE 9a� 3—ti/77 PHONE LEGAL DESCRIPTION: ZIP Actual Set Backs in Feet to: North 'South eOACTO@ 4. iAAC- , AD RESS .4iaf DESIGNER 5. ADDRESS LICENSE EXPIRES /a -a,(/ P ONE 9a6—/983 Size of Parcel IIZone Classification East West Residential ❑ Commercial ❑ ZIP 99c c Type Const. Occupancy Spr'nklered ❑Yes 0 N Req 'd. PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area ZIP Main Floor Upper Floors Garage/Storage Greenhouse 6. CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement TYPE 0 NEW 0 ALT. 0 AD' N. 0 RPL. ❑ MVE. 7. OF WORK 0 BLD. 0 PLMB. i4GIECH. ❑ M.H. ❑POOL ❑ OTHER No. Baths No. Floors No. Fin. Rooms No. Dwellings Certif1. of Exempt. or Variance Required Yes No Received Yes El No Number DESCRIBE yyffORK p 8. Jiuz ¢ ego owe) 47 -01 -Zoo �..G.,vn . 9- VALUATION 9. SOURCE 1 G UTI LLIITI ES Shorelines/Flood Hazard Yes ❑ Not Applic. ❑ Plans Required ❑ Received ❑ ELECTRIC WATER PUBLIC 0 PRIVATE 0 SEW E P 0 SE R Ownership Public 0 Private 0 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 au- thority to violate or cancel the provisions of any other stateor local law regulating construction or the performance of construction. SEE REVERSE SIDE F RE ED INSPECTIONS SIGNATURE OF , /t APPLICATION C OWNER OR AGENT `"1 ��Q-21V ,• gY2.r � DATE /() j?:5) SPECIAL CONDITIONSSEE REVERSE SIDE FOR NOTICE) SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. // PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify TOTAL $ yii PERMIT NUMB � -�7 04* *1800 *18,00,5 A *000 961.62 09-28-83 X479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 09-;2.8 DATE ISSUED PERMITS ,6 / Iz *1 8. IJ 0.Pc.1L