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1979, 11-26 Permit: 79-8351 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT — .-7c1 "�—/)g ��, NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE / /-,Q,_ ' APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS . � , } 1 4J�©il 1(� f LE(AL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISION PARCEL NUMBER/S Z. f P ONE V * 1 2, 00 3. OWNER L r clo-- , J-0 6,3 W6 /90, * i 2, o o ADDRESS /� / ZIP Required Set Backs in Feet 9��/ North 'South East (West * 1 2 0 0 c CONTRACT* ✓ PHONE _ Size of Parcel Zone Classification B '„ A 1C-.) 1,1,eaTid _ , \ayAQ..., 1957-il.,505 4. ADDRL�SS c�/ ,moi ,^ Z(��p d/ Type Const. Occupancy Sprinklered b . 010 ! /�4A04,1.Q.I� -7 g�© / Oyes ❑No ❑ Req'd. 8�J 5 Q DESIGNER PHONE Valuation Building Area in Sq. Ft. 1 1 —2 6—7 9 5' ADDRESS ZIP DWL Area I Basement Area Garage Area Storage 6 if 7 9, _ CHANGE OF USE FROM TO Split Entry ll Split Level Rancher 6. No.Baths No. Floors No. Rooms Rec. Room TYPE ❑ NEW D ALT. D AD'N. ( RPL. 0 MVE. 7, OF 0 OTHER WORK 0 BLD. 0 PLMB. %MECH: ❑ M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION C R I B E WOR �j�� .� FEES COLLECTED 8. s � �""' 41.AA.fa 1t—, 7 j, �j 0 c? �J t u LUATION Source G✓✓/\J(`1/QS / ELECTRIC WATER SEWER — of 9. Utilities 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 Plumbing performance of construction. 5_r) ,r �/- ZliliCZ -�- DATE SIGNATURE Alt �� Mech. SPECIAL APPROVALS SPECIA C NDITIONS: DEPT. REQ'D. REC'D. Plan Check Env.Health ;- SEPA (J I— Planning <a Planning — w rL Mobile Home <n Fire Marshall Co. Engineer Other (Specify) Utilities // TOTAL $ I Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. SEPA Checklist1 ; U '7_0 - - ' ci 1 '2) ^� j _ DATE /1/Z-10.9 OFFICIAL e'er— - .1. L .L * APPROVED FOR ISSUANCE _