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1979, 11-26 Permit: 79-8349 FurnaceLAN 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;; 7�DDRESS LOT/I \BLOCK 2. SUBDIVISION 3 OWNE ADORES CONTRAA✓/7/, 4. ADDR 'SS 4, '#o'/ us DESIGNER 5. PHON ZIP P ONE mss- (Ko S ZIP //"te LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S Required Set Backs In Feet North 'South lEast `West Size of Parcel - I Zone Classification Type Const. Occupancy Sprinklered Oyes DNo D Req'd. PHONE Valuation (Building Area In Sq. Ft. ADDRESS ZIP OWL Area 'Basement Area Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 0 NEW 7. OF WORK 0 BLD. DCRIBE WK ORI 8. 11 VALUATION 9. O ALT. O PLMB ro AD N. IKMECH: ❑ RPL. D M.H. Sp{/rce of • Utilities X O MVE. O POOL 0 OTHER ELECTRIC, No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION sed P., / o, aa.) WATER SEWER Req'd. I hereby certify that I have read and examined this applica ion 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 oft/ construction.. ��[/� \/ DATE � /// % SIGNATURL•„Lc /�7"�'-"-' SPECI L • •NDITIONS: DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Recd. Not Req'd. FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home ' es DATE 04* *1200 *,1200 N *12o -0U B *000 S 8348` 1 1 -26'-79 6479. �fRi _ P' Pi 0'9 riot a '2 Other (Specify) Utilities Zone Clearance SEPA Checklist TOTAL WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE411, OFFICIAL C2.22444-7t� ll,l `12 U '�l"' 8 3 49 z *112 8.8'9 H APPROVED FOR ISSUANCE