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1982, 01-07 Permit: 82A-103 FurnacePLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY -"6U%DING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 1. / APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB DJtt �"/�e L'�[�Yf '/•/B,LCO"C�•�C/`•,K SUBDI 5 LEGAL DESCRIPTION — SEE ATTACHED .d" lAtedifte4Jen4 fl/ CTOR 5. DESIGNER PARCEL NUMBER/S ZIP • PHONE ADDRESS ZIP Actual Set Backs in Feet North (South East (West ,..5 Zone Classification '`/ Occupancy Sprinklered ❑Ves ❑No 0 Req'd. Building Area In Sq. Ft. Upper Floors 1 Garage Area Storage Ize of Parcel Type Const. Valuation Main Floor CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK ❑ NEW O BLD. ❑ ALT. �❑AD N. 0 RPL. O PLMB. 16 MECH. 0 M.H. 0 OTHER ❑ POOL D RIBS W K gelA sir_ (e 8. ALUATION SOURCE / ELECTRIC JER SEWER OF 9. UTILITIES No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. Enum. Dist. Location (Area) 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 DATE OF APPLICATIO SIGNATURE OF APPLICANT SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examine SEPA Checkli Iding T-chnician / 1•' ,/ I /' / 0 I/ PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL PERMIT NUMBER 04* *1600 * 1600 N * 1600 A *Q00 '1022 0.1 -07-82 2 6479 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. :._;8�24 DATE'IBSUED PERMIT NO. TOTAL 1,0.3'5 *160 0 a g •