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1983, 11-07 Permit: 83B-1390 Furnace PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER ' SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY 832& --)�, NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675 a, APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. 1. N . 2- U 1ST q LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: r 2. OWNER PHONE PHONE i \; 3. �2- Cat. fc.)cu --SEfu ..it MAILING ADDRESS ZIP Actual Set Backs in Feet to: i .0 . ' — _ ., N, '2'2. - U Lc ,--:y.. 4421L North South East I West CONTRACTOR LICENSE EXPIRES SONE Size of Parcel Zone Classification Residential 4. Vnlr5-re er4 peekr eYL.V I C ("422' 37.c., Commercial 0 ADDRESS ZIP Type Const. Occupancy Sprinklered )V 5e©(n Ltil.-ltVAry g4:zl( ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area - J. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck i Uncv.Deck Fin.Basement Unf in.Basement 6. No.Baths No.Floors No.Fin.Rooms No.Dwellings TYPE 0 NEW 0 ALT. 0 AD'N. ❑ RPL. 0 MVE. 7. OF 0 OTHER WORK 0 BLD. ❑ PLMB. ❑ MECH. ❑ M.H. 0 POOL Certifi.of Exempt. Required Yes❑ No Number or Variance Received Yes 0 No❑ DESCRIBE WORK Shorelines/Flood Hazard Plans Required 0 8. 6(A1`., r'"-�re..-446 lC}t rc.,0 Cl.. �l,E't NC, Yes Not Applic.0 Received 0 VALUATION SOURCE GAS ELECTRIC WATEPUBLICO SEPTIC❑ Ownership FEES COLLECTED 9. UTILITIES PRIVATE 0 SEWER 0 Public 0 Private 0 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 Building work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- thority to violate or cancel the pr• isions of any other state or local law regulating construction or the performance of construction.SEE REVERS'E�FO�R REQU D INSPECTIONS Plumbing SIGNATURE OF �2,���' _ ' APPLICAT N �i OWNER OR AGENT DATE ���71/ 3 Mesh• 1 t• ' SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env.Health SEPA Planning Modular/ Fire MFG.Home ).- Prevent. ` 0 € Engineer Other(Specify) W E Utilities LL. TOTAL $ Lia ` SEPA c PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, Plans THIS BECOMES A PERMIT. Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building it IN 180 DAYS o Tech. 3n- // DATE JEDO ,. PERMIT e z *W U. u VaAIC 11-07 -83