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1980, 12-01 Permit: 80B-4316 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 ' JO e DDRES . 6 61;2 :5eY e , �e h LEGAL DESCRIPTION — SEE ATTACHED BLOCK ISUBDIVIbIUN I I PARCEL NUMBER/S OWNER Pai-/I&/ 3. e ADDRESS ZIP Actual Set Backs in Feet p!' North South East West CO TRACTOR ' PHONE Size of Parcel Zone Classification C9_c� ^2 ct 7� 4. A RE ZIP[yQ Type Const. Occupancy Sprinklered 3-0,5-j��( 9L J 0,6 ❑Yes []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. No. Baths No. Stories No. Rooms No. of Dwelling TYPE �� NEW ❑ ALT. El AAD'N. IC.I RPL. ❑ MVE. 7 OF 1:1BLD. 1:1U PLMB. MECH. ❑ M.H. El ❑OTHER 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. OF UTILITIESSingle Public []Private ❑ $ 1 hereby certify that I have read and examined this application and have read the "NOTICE" peovisions 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 nATF (1F APPI WATION �� / SIGNATURE OF APPLICANT Mech. SPECIAL APPROVALS NAME DATE Env. Hez Planning Fire Mar neer Utilities Plans Examiner SEPA Checklist --CIAL CONDITIONS: y n (p Plan Check N uC' ` SEPA i ian PERMIT IS NONTRANSFERABLE Mobile Home Other (Specify) p6RMIT NUMBER r� &-� `�' -, a w +� *12.00" A n _. 6479. TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 121_8'1,_;$"0 4316"' *12'000