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1979, 09-13 Permit: G79-3942 Gas FurnacePLAN 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 4 COPIES JOB ADDRESS 'AL DESCRIPTION — SEE ATTACHED LOT I BLOCK SUBDIVISION PARCEL NUMBER/S TYPE ❑ NEW 7, OF WORK ❑ BLD. MALT. ❑ AD'N. ❑ RPL. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ MVE. ❑ OTHER ❑ POOL equired Set Backs In Feet OWNER u•.Yy—mac. //�9 PHONE 3. Ctlu Type Const. ADDRESS Sprinklered ZIP ❑Yes ❑No ❑ Req'd. I aluation Building Area in Sq. Ft. CONTRACTOR DWL Area PHONE Garage Area Storage Split Entry {/ Rancher 4. ADDRESS ZIP No. Baths Q No. Rooms Rec. Room DESIGN R PHONE 5. Req'd. Rec'd. Not Req'd. of EXEMPTION ADDRESS I ZIP CHANGE OF USE FROM TO 6. 0--l-X CC TYPE ❑ NEW 7, OF WORK ❑ BLD. MALT. ❑ AD'N. ❑ RPL. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ MVE. ❑ OTHER ❑ POOL equired Set Backs In Feet orth South East West ize of Parcel Zone Classification Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. I aluation Building Area in Sq. Ft. DWL Area Basement Area Garage Area Storage Split Entry Split Level Rancher No. Baths I No. Floors No. Rooms Rec. Room CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION I DESCRIPE WO K $. -�L7 • �K !/ Yrs .V�� L/ CZt 4`.T�' C FEES COLLECTED VALUATION Source GA ELECTRIC WATER SEWER of 9. Utilities Single $ 1 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. Plumbing c�/'•�—% DATE Lel- SIGNATURES Mech. % SPECIAL APPROVALS DEPT. REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: �1 C DATE �OFFICI Plan Check SEPA Mobile Home Other (Specify) TOTAL $ /;�- PER UMBER DATE z _ 04* *1200 *1200 * 1 2.00 A *0.00 3941 09-13-79 -4 6.479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS��C011I~77,A �TMIT. � 2zzd *12.000 s Final Inspection DATE REMARKS INSPECTED BY 06-12-'J6 40 x1;0(; i