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1981, 10-06 Permit: 81B-327 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. 2. 3 JOB ADDRESS en /!� . Yre4/ '-10.661/elly LOT B •CK S BDIVISfON LEGAL DESCRIPTION - SEE ATTACHED OWNER Xc rr, A26/1 ADDRESS PHONE PARCEL NUMBER/S ZIP Actual Set Backs in Feet North (South East 'West 4. CONN RR,ACTOR / Teri p✓ ‘te. Id,it PHONE • Size of Parcel Zone Classification AD 732V ,( .4'r ZIP 999.4/ Type Const. Occupancy Sprinklered ❑Yes ❑No, ❑ Req'd._. 5. DESIGNER PHONE Valuation Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement 7. TYPE OF WORK ❑ NEW O BLD. ❑ ALT. ❑ PLMB. ❑ AO N. C].RPL. 264ECH. ❑ M.H. ❑ MVE. ❑ POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. DE.5,cRIBE WO,,RK �- 8.PiGZGo,t A cr VAL ATION SOURCE GAS ELECTRIC l WATER e& QS OF 9. UTILITIES Enum. Dist. Location' (Area) 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 DATE OF APPLICATION 7C—'sc pi/ SIGNATURE OF APPLICAN SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co Engineer Utilities Plans Examiner SEPA Checklist Build) ec SPECIAL CONDITIONS: /4./.5) 400 .ices- iui"ykGe tL5 ti/ Nya, PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ . Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) OC TOTAL $ /9 PERMITNUMBER &t13 -0227 04* *1900 * 1900 * 19006 A *000 3262' 10-06-81 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED 3Z7Z *18.00,.2 PERMIT NO. TOTAL