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1980, 12-17 Permit: 80B-4953 Furnace, Heat Pump
PLAN NUMBER APPLICATION/PERMITM PERMIT NUMBER • SPOKANE COUNTY — BUILDING CODES DEPARTMENT ' l 6©3— S3 ) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS U 4 * * 1 3.0 0 1. L . LEGAL bESCFIPTION — SEE ATTACHED O1 3. 00 LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. �( Gjji �/F, * 1 3. 0 0 OWNER Kin K(n..n ' P/O 9r * 0: 0 0 C. 3. ADDRESS 'L l! ZIP Actual Set Backs in Feet4 95,2 ._o --.. iii)-E-... q (>2 1 North 'SouthEast 'West CONTRACTOR PHONE Size of Parcel Zone Classification 1 2- 1 7-8 0 4. 64i/r,) ee)65* vj1!v ' � -�15 Si t" 6.4 l 9. ADDR€ SS ZI�� Type Const. Occupancy Sprinklered f�GL • c O � / �C7t�1 //ci "Y)' ]Building Elves ❑No ❑ Req'd. DESIGNER PHONEValuation 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 Dwellings TYPE ❑ NEW 0 ALT. KAD'N. 0 RPL. 0 MVE. 7. OF El OTHER WORK 0 BLD. 0 PLMB. f)MECH. 0 M.H. El POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION W RK Enum. Dist. Location (Area) 8. DESCRIBE W l�J /a 3 i Che px j I FEES COLLECTED zap i VALUATION SOURCE GAS ELECTRIC TER SEWER Ownership USE CODE OF 9. UTILITIES —133 Public 0 Private 0 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.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS kJ Plumbing DATE OF APPLICATION 1�--/O- pO SIGNATURE OF APPLICAN 0-4062) Mech. O° SPECIAL APPROVALS SPECIAL CONDITIONS: Qv NAME DATE Plan Check U.' Env. Health SEPA o, Planning U Mobile Home w Fire Marshall -J '. CU= Co. Engineer Other (Specify) Utilities TOTAL $ I`3-C° Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Building Technician PERMIT IS NONTRANSFERABLE 1,2;7 17,-'8 114 9.5,3 ? *1.3.0 0 a. I 1 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE . DATE ISSUED PERMIT NO. TOTAL