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1983, 02-24 Permit: 83A-1295 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. ADDRESS _S. la7rfi LEGAL DESCRIPTION — SEE ATTACHED LOT I BLOCK rt3DIVlblUN PARCEL NUMBER/S 2. OWNER PHONE 3. 3'AC K L , t .�'3. � - g ADDRESS ZIP Actual Set Backs in Feet �// �j E", 3/ Jo�/i/�fy North South East West CONTRACTOR PHONE Size of Parcel Zone Classification r1OrKSPAC #6161 A; ALa = a8-0960 4. ADDRESS ZIP Type Const. Occupancy Sprinklered y� M)jwsrls- Yqpa 4 Dyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. TYPE NEW ALT. ❑ AD -N. ❑ RPL. ❑ MVE. No. Baths No. Stories No. Rooms No. of Dwellings 7, OF ❑ OTHER ❑ BLD. ❑ PLMB. X MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED 8• 6-4) r / 5 ST w 3 Gc) ELE'GT is f' VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. OF UTILITIES %� 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 type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing JSEE �1 DATE OF APPLICATION/ %/ / %�J� _ SIGNATURE OF APPI ICANT/uC� //V/, Mech. �/ SPECIAL APPROVALS NAME DATE Env. Hearin Planning Fire Marshall Co. Engineer Utilities Plans Examiner SPECIAL CONDITIONS: I` 4-� 'V /o, azo F'44 c + -#/y.So PERMIT IS NONTRANSFERABLE Plan Check SEPA Mobile Home Other (Specify) PERMIT NUMBER 1A ;zA1' 9q5 1 TOTAL $ 6 � I WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0�2�24�-8`3 129.5'7 * 1'4