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1980, 01-14 Permit: 80-939 FurnacePLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 4.c JOB1144 SUB IVIS ADDRESS t. L 4 U t1 Vg '5 � J BLOCK ON 2. LEGAL DESCRIPTION - SEE ATTACHED OWNERDpa Dp nn - ADORES 9N kl • L t 6 to - t. irs /Q Dgec S TRACTOR J--l. -E A -T f J cZ"fcooL' (J e , we 4. E3fE©.3�.C°I r71,, , tI5e SIGNER 5. Al Ali cn.1 F ADDRESS PHONE q'a-6 Ca (40 ZIP PARCEL NUMBER/S Required Set Backs In Feet North 'South East 'West PHONE Y8Y-Yo9g Size of Parcel 1 Zone Classification Type Const. Occupancy Sprinklered ❑Yes ❑No 0 Req'd. PHOE tf&NLf'-09 B ZIP Valuation Building Area in Sq. Ft. OWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM 6. ori TYPE 0 NEW WA LT. 7. OF WORK 0 BLO. TO 0 AD N. 0 RPL. ❑ MVE. 0 PLMB. lig MECH: 0 M.H. 0 POOL 0 OTHER • Split Entry No. Baths Split Level No. Floors No. Rooms Rancher Rec. Room CERTIFICATE of EXEMPTION Req'd. Re 'd.. Not Req'd DESCRIBE WORK 8. C,0 N UE -4-1— /L. iU/NfrtE 7'-D a frS WATER VALUATION 9. ID Source of Utilities GPS ELECTRIC 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 permit does not presume to give authority to violate or cancel the provisions of any other state or-Ial law re tingconst ction or the performance of construction./q� DATE P • L ( • / ( SIGNATURE DEPT. SPECIAL APPROVALS REQ'D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS:' /DD rrz 37'-L / el vy5 Y FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA GIS DATE R PERMIT NUMBER eio-c+s7 1{ 04* *1200 * 1 20,0 *12006 E *Q'00 8 138B 01-11V-80 6479. DATE OFFICIAL RQ/k APPROVED FOR ISSUANCE Mobile Horne Other (Specify) TOTAL $ .2 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 01:' !P; C7461'01 13 9 Z *12.0 11,1