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1982, 01-20 Permit: 82A-519 FurnacePLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY -BUIL-DING 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. OWN (� y� 3. \Jt 2 t r0 ADDRESS t f (s ; _7� r cox(R^AC-TnOR f7r sf% t�a, x/ JP..T 4 441.4.. -M. -ft U.i /el 4O CO Y I/6114a/ B OCK S BD VISION LEGAL DESCRIPTION - SEE ATTACHED 4. 5. Ar E593 O DESIGNER PARCEL NUMBER/S PHONE ZIP Actual Set Backs In Feet North 'South East 'West P�{ONE Yd-tP-ped.SL Size of Parcel 1 Zone Classification ZIP 994-4, PHONE Type Const. Occupancy Sprinklered - OYes ONo 0 Req'd. Valuation I Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors I Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Untin. Basement 7. OF TYPE NEW 0 ALT. ���0/J/AD N. 0 RPL. 0 MVE. WORK 0 BLD. 0 PLMB. / yXMECH. 0 M.H. 0 POOL 0 OTHER DESCRIBE WORK 8. 1;11r'[..i.J %�ww�.0.s.a.t ,4'1 t . r VALUATION GAS 9. SOURCE OF UTILITIES A 411 EL C RI WATER SEWER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. 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 APPLICATION /'/, 9)SD' ) SIGNATURE OF APPLICANT �� SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SPECIAL CONDITIONS: v PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL //6.A PERMIT NUMBER • 04* *1400 *14.00 V) •*14.00 A *Q00 8 .51.81 `01-20-82 g 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. r ie 4. y Ii 0?f11,=1,20' 8121 51'91 *1 ,1 0'0 2. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL Y 0- 0 O LLI-J LL