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1980, 04-30 Permit: 80-4156 Furnace
(PLAN NUMEf_R 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 JO ADDRESS 1. 43te -3 F©N LOT BLOCK SUBDIVISION 2. LEGAL DESCRIPTION - SEE ATTACHED 3 OwIS1RN u. j r �-L ve ADDR �q j�.P0/0(i(04 PHONE PARCEL NUMBER/S ZIP Actual Set Backs in Feet North (South East (West 4. CO A�� & e.c . k1ciTL ` J x A995`1 \�•2 i� 1 ko PHONE Size of Parcel 1 Zone Classification Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. 5. DESIGNER PHONE Valuation 1Building 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 TYPE 7. OF WORK ❑ NEW ❑ BLD, 4 ❑ ALT. ❑ AD N. ❑ RPL. 0 MVE. ❑ PLMB. 1KVECH. ❑ M.H. 0 POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WOR 8. 75-1‘35.,A Enum. Dist. Location (Area) VALUATION SOURCE S_ OF CSX 9. UTILITIES / ELECTRIC WATER 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 •gulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT DATE OF APPLICATION SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning SPECIAL CONDITIONS: he \ 2_S, dam© -{ LL L i�=� ►'per _ �1,Ue7 Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Bu i Technician -(7739/,PO 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 $ Itt(:)C PERMIT NUMBER e-4is 04* * 1 1.00 * 11.00 * 1 1.000 E *00( 4154 04-30-80 if 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. b`4 i30. -E 0 415,65 *11.00° DATE ISSUED PERMIT NO. TOTAL !,a