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1979, 11-26 Permit: 79-8347 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 ADDR11707 LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISIO 3. OWNF2'� VWeY P ONE PARCEL NUMBER/S ADDRESS ZIP Required Set Backs in Feet North (South East (West 4. CONTRA ADDRE . r.©4 DESIGNER PHONE 3c 5--4S)3" t7gae`7 PHONE Size of Parcel Type Const. Valuation Occupancy Zone Classification Sprinklered ❑Yes ❑No 0 Req'd. Building Area in Sq. Ft. ADDRESS ZIP DWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 7. OF WORK ❑ NEW 0 ALT. yjl AD N. 0 RPL. 0 MVE. 0 OTHER 0 BLD. 0 PLMB. MECH: 0 M.H. 0 POOL No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd: DESC BE WO . 65-4-)�� oet C0.A.,9%tA_I- OLC i VALUATION 9. Source of Utilities G S ELECTRIC WATER SEWER 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 ss tte or local law regulating construction or the performance of construction. DATE 79 SIGNATURE vitt" DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning . Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CDNDITIONS: DATE 005 OFFICIAL? / / APPROVED FOR ISSUANCE FEES COLLECTED • Single $ Building Plumbing Mech. TO% Plan Check SEPA Mobile Home Other (Specify) TOTAL $ � a - DATE 6- _ -?cc — c 3 x-17 PERMIT NUMBER 04* *1200 *1200 iAO 2006 *Q0.0 B 83462 :1.1 26'-79 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 6'-;7,9' 8'3!47 z 2.'0.0;2'