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1983, 08-12 Permit: 83A-7751 Furnace
PLAN NUMBER APPLICATION/PERMIT PERMIT'NUMBER SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY g� ` -2-75 NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES— PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. 1. s. kjO©!i ! LOT BLOCFCr SUBDIVISION LEGAL DESCRIPTION: 2. 3. OX' +�PS�1/ PHONE PyQN�e _ zr, MAILING.ILGADDRESS ry y��jj�� Z pp [SCJ Actual Set Backs in Feet to: v - '2 7G �/ C North South East West U �� * it 1 G U CONJRA TO9I / LICENSE EXPIRES C Size of Parcel Zone Classification Residential * j L!. Q:ii 4. N 1"I �w��-� cZ��p�- ( . Commercial❑ ADI jE. kJ ' � � 4 - ✓ CLQ 1 6 Type Const. Occupancy ❑Yes Spr❑Nored ❑Req'd. * 1, �/ 775. U . DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area 5. 08- 12-83 ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse 6479. CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement 6. No.Baths No.Floors No.Fin.Rooms No.Dwellings TYPE NEW ❑ ALT. 0,40'N. ❑ RPL. ❑ MVE. 7 WORK ElBLD. ❑ PLMB. MECH. ❑ M.H. ElPOOL 0 OTHER Certifi.of Exempt. Required Yes No❑ Number or Variance Received Yes No CI DESCRIBE WOR ,,� ^^ r, Shorelines/Flood Hazard Plans Required El 5 KW t . Yes Not Applic.CI Plans ❑ VALUATION SOOURCE GAS ELECTRIC WATER PUBLIC❑ SEPTIAC❑ Ownership FEES COLLECTED 9. UTILITIES PRIVATE❑ SEWER El Public El Private❑ 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 provisions of an other st-k- or local law regulating construction or the performance of construction.SEE RE' SE SIDE FOR REQ i 1• D I r•ECTIONS Plumbing SIGNATURE OF ` APPLICATION S _)OWNER OR AGENT . ..4 ' A \,'r ( DATE ^� Mech. I F SPECIAL APPROVA -- SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) Plan Check PRELIM. FINAL DAT Env.Health SEPA Planning Modular/ Fire MFG.Home >- Prevent. C Other(Specify) C] Engineer yI _J Utilities ' TOTAL $ y SEPA it MACHINE Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERM TTED IN THIS SPACE, Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building `{� IN 180 DAYS (S R 1' 2p—8 3 7 a 5, 1 z * 14.0 0 °0. Tech. V DATEiSSUEDr PERMIT NO. TOTAL