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1979, 09-14 Permit: 79-4038 Furnace, Heat PumprAL N NUMBER f APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DESCRIBE WORK $• , FEES COLLECTED ,` / a /Li� VALUATION Source GAS ELECTRIC WATER SEWER of 9. Utilities Single $ 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 Building 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 14:11 ^4-W to 46` 00 performance of construction. __ Plumbing DATE C?„ SIGNATURE '+ l� "—" Mech. , n SPECIAL APPROVALS/kwSPECIAL CONDITIONS: t f <rr�Io DEPT. REQ'D. RECD. /` / ,i Plan Check Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist '`v,t•c/► /D©,6 DATE OFFICIAL SEPA Mobile Home Other (Specify) TOTAL $�� PERMIT NUMBER�� 79 —4D_!5 9 DATE Z1,2 Z % C)4* *18.00 *18.00 * 1 8.00 E * 0.0 C' 403.7 09-14-79 a E47Q WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0 9-'1 4 7 9 ; AS 0 *18.00 APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 4 COPIES 1 JOB ADDRESS ' / A/u z j LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. I OWNER h�lc� PHONE 3. ZIP Required Set Backs in Feet �A/DDRESwS o /` <JG G? /� f/�C� r sY L <1 Sr 3�i 5 V North South East West CON RACTOR PHONE Size of Parcel Zone Classification y a &-'4 ii %�i - )i/4,41 4. ADDRESS / 1 ZIP / Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. TYPE NEW ❑ALT. 1-1 AD -N. El RPL. ❑ MVE. No. Baths No. Floors No. Rooms Rec. Room 7, OF El OTHER WORK ❑ BLD. ❑ PLMB. [IMECH: ❑ M.H. ❑POOL CERTIFICATE Req'd. I Reed. Not Req'd. of EXEMPTION DESCRIBE WORK $• , FEES COLLECTED ,` / a /Li� VALUATION Source GAS ELECTRIC WATER SEWER of 9. Utilities Single $ 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 Building 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 14:11 ^4-W to 46` 00 performance of construction. __ Plumbing DATE C?„ SIGNATURE '+ l� "—" Mech. , n SPECIAL APPROVALS/kwSPECIAL CONDITIONS: t f <rr�Io DEPT. REQ'D. RECD. /` / ,i Plan Check Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist '`v,t•c/► /D©,6 DATE OFFICIAL SEPA Mobile Home Other (Specify) TOTAL $�� PERMIT NUMBER�� 79 —4D_!5 9 DATE Z1,2 Z % C)4* *18.00 *18.00 * 1 8.00 E * 0.0 C' 403.7 09-14-79 a E47Q WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0 9-'1 4 7 9 ; AS 0 *18.00