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1980, 03-21 Permit: 80-2522 FurnacePLAN NUMBER APPLICAm"ON/PERMIT PERMIT NUMBER _I - SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE 7 V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 4 9.0 0 % C 0 LO JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED �t L, 0 0 c' v LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. I ,= o ; C - (J' J'-' OWNER _...� I� J �' tc� PHONE �),� c-7 � 1� 3. 2521 ADDRESS ZIP Required Set Backs in Feet 1 L .k � �� North South East West _ 2 1 — 8 0 03 7 9 CONTRACTOR PHONE Size of Parcel Zone Classification64 4' ADDRESS ZIP Type Const. Occupancy Sprinklered I Dyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP OWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. TYPE E]NEVf ❑ ALT. � AWN.ElRPL. ElMVE, No. Baths No. Floors No. Rooms Rec. Room %, OF OTHER CERTIFICATE Req'd. I Rec'd. Not Req'd. WORK ❑ BLD. ❑ PLMB. �MECH: ❑ M.H. ❑ POOL of EXEMPTION DESCRIBE WORK,` a�^ FEES COLLECTED 8� f�\�1 VALUAT Source GASLECTRIC WATER SEWER 9. Utilities li ' \ x I I 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, Plumbing r _ 10 DATE �` < %' SIGNATURES' �-x s I Mech. • ' �, SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health z SEPA c, Planning n_ Fire Marshall Mobile Home - Co. Engineer Other (Specify) Utilities �� 6 TOTAL $ ttt Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist n i THIS BECOMES A PERMIT. _ may^ ,�Z'J]7,�r." IhV1 6 %,i— DATE•y�' i OFFICIAL CLY�=f_ i -- APPROVED FOR ISSUANCE —