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1982, 12-22 Permit: 82B-2134 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT 87-'3 _ 'at 34` NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PIESS I-!ARD TO MAKE 3 COPIES JOB ADDRESSph%1 LiT50 e, LEGAL DESCRIPTION - SEE ATTACHED BLO K SUBDIVISION PARCEL NUMBER/S 2. 1--‘----,-.—/(4 .77,4 -e WNE3.j f L1,6- / 7tiI 4 //4/2,0 ONE CA.■' SS (�G f71; �, IP Actual Set Backs in Feet �� i 'L71.-6 "L i 6-da 7 V North 'South East (West L �+ * * 1 C. ACTOR ( �� PHONE Size of Parcel Zone Classification n Y 4. � ) ZIP Type Const. Occupancy Sprinklered �=1 * H L/ �YYt �t ❑Yes ❑No ❑/T *' PHONE Valuation Building Area in Sq. Ft. C f 3 '- 5. i ADDRESS ZIP Main Floor Upper Floors Garage Area Storage - 7 .1. a ! y. CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. TYPE No.Baths No. Stories No. Rooms No. of Dwellings ❑ NEW ❑ ALT. 0 AD'N. ❑ RPL. ❑ MVE. 7. OF El OTHER WORK I=1BLD. ❑ PLMB. R.MECH. 0 M.H. ElPOOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION 8. ete-7-1-- RIBE WORK /� Enum. Dist. Location (Area) FEES COLLECTED VALUATI SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. UTILITIES Public 0 Private 0 Single $ 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 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 INSPECTAQ. / Plumbing DATE OF APPLICATION ) �- & -E5-2----SIGNATURE OF APPLICANT ,, / / ,��Zt'��� Mech. SPECIAL APPROVALS SPECIAL CO ITIONS >>�/� ��ii /i ®v/ NAME DATE �/ ��*'/ C��� 'Ili( Plan Check Env. Health Planning SEPA Mobile Home Fire Marshall '. ��r IC G A!_ f :--L..�-L ` .--2 Co. Engineer � G � /�� �� -�'-___(„7 Other (Specify) Utilities l/ / ff /Zl TOTAL $/t.(,)4)(,)4)Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. 'ding ,echnician PERMIT IS NONTRANSFERABLE 12,-2 2 8 2 2 1 3.-4 z * 16.0.0 2 I- / ✓ f�V- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL