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1979, 09-17 Permit: 79-4135 FurnacePLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DESCRIBE WORK FEES COLLECTED 8. Xv ,194-c VALUATION Source GAS ELECTRIC WATER SEWER of � �•�4 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 performance of construction. Plumbing DATESIGNATUR�s="' Mech. ,�a SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning Fire Marshall Mobile Home Co. Engineer Other (Specify) Utilities TOTAL $ �� Zone Clearance WHEN MACHINE VALIDA' SEPA Checklist 1 THIS BECOMES A PERMIT DATE �� 79 0FF11 a" _ PERMIT NUMBER _71 - (3 DATE 04* *9.00 *9.00 to - 9, B *0.00 41342 09-17-79 -4 6479, SPAt:F_; APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB DDRESS 7,41 �� /��. � LEGAL DESCRIPTION —SEE ATTACHED LOT BLOCK PARCEL NUMBER/S 2. I ISUBDIVISION OWNER PHONE It"f"F4V ell 7 i✓41Ei< , 3. ADDRES�Ss ZIP Required Set Backs in Feet ,rte lVi North South East West CONTRACTOR PHONE Size of Parcel Zone Classification 4. ADDRESS ZI Type Const. Occupancy Sprinklered laZ— 44071y' � ❑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. No. Baths No. Floors No. Rooms Rec. Room TYPE ❑ NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF ❑ BLD. ❑ PLMB.MECH: ❑ M.H. ❑ OTHER ❑POOL CERTIFICATE Req'd. Rec'd. Not Req'd. WORK of EXEMPTION DESCRIBE WORK FEES COLLECTED 8. Xv ,194-c VALUATION Source GAS ELECTRIC WATER SEWER of � �•�4 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 performance of construction. Plumbing DATESIGNATUR�s="' Mech. ,�a SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning Fire Marshall Mobile Home Co. Engineer Other (Specify) Utilities TOTAL $ �� Zone Clearance WHEN MACHINE VALIDA' SEPA Checklist 1 THIS BECOMES A PERMIT DATE �� 79 0FF11 a" _ PERMIT NUMBER _71 - (3 DATE 04* *9.00 *9.00 to - 9, B *0.00 41342 09-17-79 -4 6479, SPAt:F_;