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1981, 10-23 Permit: 81B-1048 FurnaceyL..1V IVVIVI6Cr< I APPLICATION/ PERMIT , IPES iNUMB I SPOKANE COUNTY — BUILDING CODES DEPARTMENT n / NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 U APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED �. F - LOT I BLOCK B I IO PARCEL NUMBER/S 2. OWNER PHONE 3. 1� R—,/ n I . STA N (— `S' 1>3E 1 ADDRESS ZIP Actual Set Backs in Feet E sib C�2rgN1T �O►tvT t�Z 9q�O� North South East West CONTRACTOR PHONE Size of Parcel Zone Classification 4. ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM of Decks Finished Basement Unfin. Basement 6. f`i(&-( O t L TArea TYPE No. Baths No. Stories No. Rooms No. of Dwelling E( 11� NEW El ALT. 1-1 AD'N. 1:1 RPL. 1-1 MVE. ], OF 1-1 OTHER WORK El BLD. 1:1PLMB. H/ MECH. ❑ M. H. El POOL CERTIFICATE Req'd. i Recd. Not Req'd of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) 8. G Ars FuaV,JAc e i 71.E arm a-c� I FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. OF UTILITIES I Public ❑Private ❑ Single $ 1 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 Building to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performanm of constructio . SEE REYE IDE REQUIRED INSPECTIONS Plumbing ALIGRAT(1\j r7.OD DATE O U ATRE OF APPLICANT Mech. SPECIAL APPROVA S SPECIAL CONDITIONS: NAME rIATF Plan Check Env. Health Planning Fire Marshall Engineer lities ns Examiner PA Checklist ilding Technician PERMIT IS NONTRANSFERABLE S` PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE SEPA Mobile Home Other (Specify) TOTAL $ CCL* RIC. * 1 7.00 n � li rot U '. 1U4.7 1 0-2-7 1 6.479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. YO�-�12I-B''l 10 48 51 DATE ISSUED PERMIT NO. * I Z 0'0 a.� TOTAL 0 C C k 7