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1981, 02-23 Permit: 81A-1723 Furnace
PLAN NUMBER APPLICATION/PERMIT M PERMIT NUMBER SPOKANE COUNTY - BUILDING CODES DEPARTMENT / NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS Z, �/ ©_ LEGAL DESCRIPTION — SEE ATTACHED 1. LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S OWNER 3. � D 1: - ADDRESS lj:�- /I .3. r, PHONE �., Y_ 11 ZIP Actual Set Backs in Feet d North South CONTRACTOR PHONE Size of Parcel Zone Classification ) 6 4. ADDRESS ZIP Type Const. Occupancy Sprinklered JC `) _ —❑Yes []No 1:1 Req'd. DESIGNER P HONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP Main Floor I Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. I Baths No. Stories No. Rooms No. of Dwellings TYPENo. NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE. X 7, OF El OTHER ❑BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION ESC RI BE WORK-,! / / Enum. Dist. Location (Area) FEES COLLECTED 8. t� -7 C i' ys ci VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. OF UTILITIESi I Public ❑ Private ❑ 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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing DATE OF APPLICATION / �/ SIGNATURE OF APPLICANT /� �/i f��A�-� Mech. SPECIAL APPROVALSI SPECIAL CONDITIONS: NAME DATE Env. Heaun Planning F Fire Marshall neer Plans Examiner SEPA Checklist n PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check 04* * 1 4.00 * 1 4,00 L * 1 4.006 A *0.00 17222 02-23-81 2 6479. SEPA >-- flO Mobile Home J ii Other (Specify) TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 02,=23 —'81 17 23 Z *14, ow DATE ISSUED PERMIT NO. TOTAL