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HomeMy WebLinkAbout1981, 11-09 Permit: 81B-1616 FurnaceAN 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 1. 2. 3 JOB ADDRESS E. Iz6 )2_ Vain yIA)/ LOT BLOCK SUBDIVISION LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S OWNER L�oN1N1Es ADDRESS 12_. 12. E.- VA u.. EyW iq CONTRACTOR 4 f C-0Pr.1–RNPs i}EP1iNC7 ADDRESS 5. 66.o? 14 TA DESIGNER PHONE ZIP 92o6 Actual Set Backs`in Feet North `South East (West PHONE 535- Size of Parcel i Zone Classification ZIP PHONE Type Const. Occupancy Sprinklered 0Yes DNo ❑ Req'd. Valuation Building 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 L`TNEW Cl ALT. ❑ PLMB. ❑ BLD. ❑ AD'N. ❑ RPL. ❑ MVE. g-10ECH. ❑ 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 WORK 8 I IKST/i'11T6ol�I QF Ca /AS F"4(2NAc� VALUATIG. SOURCE GAS OF 9. UTILITIES ELECTRIC WATER SEWER Enum. Dist. ILocation (Area) Ownership Public ❑ Private ❑ 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 law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building Technician SPECIAL CONDITIONS: o so g n4 FuRNA cE P- -FL-AC . Fui2NAcE— Ailig lc" !"i')P 6.©a S z ppb aN� 6�1 Lt -r 4 X-.- 264 Q S 11-61 yz 2,00 PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home 8 Osthe Specify) to TOTAL PERMIT NUMBER OHS— ict, 04* *1800 *1800 * 1 800 A *0.00 161.52 11-09-81 s 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED 161.62 *18.00 PERMIT NO. a TOTAL