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1980, 09-22 Permit: 80B-658 Furnace
PLAN NUMBER 9 -aa -11) 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 j // y 2 n 4 eAX.C-6 LOT BLOCK SUBDIVISION 2. OWNER �`� h /202,7dC PHONE 926-24'ov LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER -A. ADDRESS //41 2-a 6A3 cs- ZIP Actual Set Backs in Feet North 'South East (West CSONTRACTOR .9A/NK,,C f'4,,✓,s2cs 4 rUez" Z -,--c 4' ADD$E55 / PH NE Size of Parcel Zone Classification Type Const. Occupancy Sprinklered ❑Vas DNo 0 Req'd. DESIGNER PHONE Valuation Building Area In Sq. Ft. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basemen TYPE 0 NEW 7. OF WORK 0 BLD. 0 ALT. 0 AD N. 113[RPL. 0 MVE. 0 PLMB. MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Store No. Room No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. DESCRIBE WORK 8. aeE ©/G4c-dt Enum. Dist. Location (Area) VALUATION 9. SOURCE GAS ELECTRIC WATER OF UTILITIES SEWER Ownership Public OPrivate 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 INSPECTIONS DATE OF APPLICATION SIGNATURE OF APPLICANTT / ►!= SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Check! Bupdin Te hnician rJ ia.r LtuJi SPECIAL CONDITIONS: dos, 1-61 r PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing Mech. //a!J Plan Check SEPA Mobile Home - Other (Specify) TOTAL M PERMIT NUMBER . 04* ' '*11.00 *11,006 . A *Q00 '6574- 09-22-80 g 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. • 019+I^ir2j 21 `8i'01 65, 8'Z *1L0.0" PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL