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1981, 06-01 Permit: 81A-5299 FurnacePLAN 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 3 -COPIES 1. JOB ADD RESS T elelJ/f LOT SUB6IVI5I 2. OWNER 3 /%// �ijL^.OS OtL/ ADDRESS .� r. 9303 ,6reet-e � LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S PHONE ZIP Actual Set Backs in Feet North 'South East (West CONTRACT0 4 MSG /D- - Z 4-G✓ 74411117.d ADDRESS/� /f Z1/ , fN 5. DESIGNER PHONE Size of Parcel 1 Zone Classification 9'z' Type Const. Occupancy Sprinklered ❑Yes ❑NO ❑ Req'd. PHONE Valuation I Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TYPE' 7. OF WORK TO Area of Decks Finished Basement Unfin. Basement NEW 0 BLD. ❑ ALT. ❑ PLMB. ❑ AD N. Z MECH. ❑ RPL. O M.H. ❑ MVE. ❑ POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Re 'd. Not Req'd. 8. 9. DESCRIBE WO K 2 r l //prof VALUATIO SOURCE OF UTILITIES o/Pc by/Pi 11-711ne. toPi Enum. Dist. Location (Area) ✓ GAS ELECTRIC WATER SEWER Ownership Public 0 Private 0 USE CODE 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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS SIGNATURE OF APPLICANT,044 ._c iO/Ik' Vit DATE OF APPLICATION s=z9 SPEfIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examine SEPA Checklist SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing -Meth. Plan Check SEPA Mobile Horne Other (Specify) OP_ TOTAL $ /y PERMIT NUMBER t i - 5297 04* *14,00 * 14,00 ' * 14006 A *000 S 529.88 0'6-01-81 g 6479. WHEN WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. „0;6p. Ip 1:7! ! DATE ISSUED 5.29.9: *_1.40.0 O J — aF PERMIT NO. TOTAL 0 -