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1980, 07-21 Permit: 80-7441 Heat Pump, FurnaceAPPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES ). 2. 3. 4. JOB ADDRESS LOT lyyo7 MAIr4 SUBDIVISION BLOCK LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/5 OWNER D4LE 6Ry4I ADDRESS PHONE gs6-785 E. /4Vc7 M4/u CONTRACTOR QAVA/ER FakN,cE 4- ru,EL ZIP Required Set Backs in Feet North (South [East (West PHONE ' .S1Sr7/I Size of Parcel - 1 Zone Classification ADDRESS W. 122 1,/r/ EA14- ZIP . 4,102 Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. 5. DESIGNER PHONE Valuation (Building Area I Sq. Ft. ADDRESS ZIP DWL Area I Basement Area Garage Area Storage 6. CHANGE OF USE FROM .icr TYPE 0 NEW 7. OF WORK 0 BLD. TO Split Entry Split Level Rancher O ALT. ❑ PLMB. ❑ AD N. MECH: ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL 0 OTHER No. Baths No. Floors No. Rooms Rec. Room - CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8' SNSrgLL. MOAT Pump He10-4'i iv It- ELECT/47C Fu2N. 5/.2Q4'-25 VALUATION Source GAS ELECTRIC WATER SEWER of 9. Utilities 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. DATE 7'/7-810 SIGNATUREocLCiYUC/ DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist LE'IOME OWNER'S WARRANTY WS ❑ NO ❑ SPECIAL CONDITIONS: DATE OFFICIAL APPROVED F FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ /3,00 M PERMIT NUMBER 8o- 7VV/ DATE 44 *1300 *1300 16 *13006 E *000 7437B 07=21'-8O • 2 6479. . WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOME A PERMIT. � �1''•a l� "8'�! z * 1,10;0 a pi