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1980, 01-07 Permit: 80A-9875 Furnace Conversion PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT (s BOA -` F7.5— NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /— `7-80 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 073R * 9 9 0 0 JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED ,-.£ 1 *09�.��0 , 1-E. 1 308 S I x-rH AM LO I BLOCK SUBDIVISION PARCEL NUMBER/S 2. a�/,�`)�g6,� 6,4 7 S`, OWNER PHONE A�,`Ql/rl' 3. EVEP--E-rI" I-, u>AeN-R- 12-4-2_240 ADDRESS ZIP Required Set Backs in Feet . E . 1130 8 sr %CTH AVE SpokANE. 5920a North 'SouthEast (West CONTRACTOR PHONE Size of Parcel Zone Classification 4. ADDRESS ZIP Type Const. Occupancy Sprinklered n ❑Yes ❑No ❑ Req'd. C L. * * 9,.0 0 DESIGNER PHONE Valuation Building Area in Sq. Ft. * 9,Q0 F. 5. — ADDRESS ZIP DWL Area Basement Area Garage Area Storage 9 8 7.4 R. CHANGE OF USE FROM TO Split Entry Split Level Rancher 0 1 -0 7-8 0 6. 2' 6.479, ,{�� No. Baths No. Floors No. Rooms Rec. Room TYPE E NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF ❑ OTHER WORK ❑ BLD. ❑ PLMB. 12 MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION DESCRIBE WORK FEES COLLECTED 8. co N V P—r—OIL- F U RPlAC$ 'R) GAS VALUATION Source GAS ELECTRIC WATER SEWER of 9. Utilities Single $ — 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 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. t, , Plumbing DATE I' ?- 5'O SIGNATURE d" Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. g,T.0 S.. $,pOOD Plan Check Env. Health D Ul P / 4 20 ' PIPE. SEPA Planning — C._) Mobile Home cn Fire Marshall Co. Engineer Other (Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. �. DATE 7-8.C7 OFFICIAL f 5 1- 0 r -rr 0 {i /,5 V d APPROVED FOR ISSUANCE - FROM No.UMW NO. hem certify that 1 am making my own gas egdpmscnt installation within my own building and, Further certify that I know how to make Vail satire Anita/lotion in compliance with the Gee Code as well as all required tsste for tiglttuessa proper input, etc., or will hove . = _ . +ar :. '• f maks the required tests for me upon completion of this installations and before f8nal inspection. • Nam Address Signed and Witnessed day ©f ���... 0 19'ao rr..r. rs� .r..k.woa.s �. ■ s � 2otery 2ublic for the State of iiashiagton Residing in Spokane