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1980, 10-27 Permit: 80B-2737 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 JOB ADDRESS 1. r� �, I ) `� ,.�'� LEGAL DESCRIPTION -SEE ATTACHED LOT I BLOCK SUBDIVISION PARCEL NUMBER/S 2. 1 OWNER 3. ADDRESS PHONE `�� � / `I'1;)! tItf ZIP Actual Set Backs in Feet North South CONTRACTOR n PHONE t SZ Size of Parcel Zone Classification 4. 4' S ADDRESS Z P � cl Type Const. Occupancy Sprinklered -0( ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP Main Floor I Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. No. Baths No. Stories No. Rooms No. of Dwellings TYPE El NEW El ALT. E-1 AD'N. IN, RPL. El MVE. 7, OF ❑ OTHER EI BLD ❑ PLMB. �MECH. ❑ M.H. ❑POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED � 8.VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9, I UTILOITIES xh Public ❑Private ❑ Single $ 1 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 Building 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 Plumbing 1A-- %k.l . -H, Mech. SPECIAL APPROVALSc I SPECIAL CONDITIONS: n v. I lann Tire iviarsnan Co. Engineer Utilities Plans Examiner SEPA Checklist Building Techn PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home PERMIT NUMBER 7,(,)Q C_ / J. 6 1 — 2 % g L h4'9, Other (Specify) TOTAL $ `- WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. h0, ;.;, 2 :. V 2 7 3.7 L DATE ISSUED PERMIT NO. k7.0.0°-7' TOTAL r-� U LU