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1981, 12-02 Permit: 81B-2356 Furnace
PLAN 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 JOB ADDRESS LOT 2. La CTrK 07 Mck-INNo, SUBDIVISION LEGAL DESCRIPTION — SEE ATTACHED N "1' OWNER ' 3 VY\ARk 0/1a'CAar. PHONE PARCEL NUMBER/5 ADDRESS WI ZI P Cie -120G Actual Set Backs in Feet North (South East 'West CONTRACTOR PHONE Size of Parcel Zone Classification ADDRESS SAnic ZIP Type Const. Occupancy Sprinklered Oyes DNo D Req'd. DESIGNER 6. ADDRESS PHONE Valuation I Building Area in Sq. Ft. ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK !'J NEW 0 ALT: , 0 AD N. 0 RPL. D MVE. ❑ BLD. ❑ PLMB. V(MECH. 0 M.H. D POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. ' Rec'd. Not Req'd. DESCRIBE WORK 8. Ge -r NF,w M¢i"CE2 ©-L. Enum. Dist. Location (Area) VALUATION 9. SOURCE GAS OF UTILITIES ELECTRIC WATER SEWER Ownership Public 0 Private 0 USE CODE I hereby certify that 1 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 APPLICATION X2/2/ ri SIGNATURE OF APPLICANT SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building Technician 7.4.d g W PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing �} Mech. CI' vie .00 Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 19,.. t76 PERMIT NUMBER SR>- 23S 04* *1.00 04* *17,00 *1 a00 In 235.52 12--02-81 2 6479, ( WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1`2 ,,,0. i,� i• • DATE ISSUED 01 B.0`0 - PERMIT NO. TOTAL