1981, 11-16 Permit 81B-1837 Damper to Furnace4.
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.t""j-'-1 APPLICATION/PERMIT
E411ili SPOKANE COUNTY — BU1Lri nG CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
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OWN
3.
ADDRESS _
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CONTRACTOR
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ADDRESS
5.
6.
DESIGNER
ADDRESS
CHANGE OF USE FROM
TO
HONE
ZIr
P
PHONE
Z
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
ZIP
TYPE
7. O F
WORK
9.
NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
�MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
.e�
OTHER
DESCRIBE WORK
A te! V t brtAmiper 641,--. ka.42.41 (Yp6 Marti) ;
VALUATION SOURCE GAS ELECTRIC I WATER SEWER
OF
UTILITIES
Actual Set Backs in Feet
North (South [East 'West
Size of Parcel Zone Classification
Type Const.
Occupancy
Valuation
Main Floor
Upper Floors
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq.
Garage Area
Area of Decks
No. Baths
Finished Basement
Ft.
Storage
Unfin. Basement
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
Ownership
Public ❑ Private ❑
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
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 o cal law re lating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSP ONS�
No. Rooms
No. of Dwellings
Req'd.
Rec'd.
Not Req'd.
Location (Area)
USE CODE
DATE OF APPLICATION 1_ /: i (f 1 SIGNATURE OF APPLICANT
SPECIAL APPROVALS Sf'ECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
FEES COLLECTED
iap„p�eva64J C�
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify) +U 6
ydtwiYr. r.
TOTAL
PERMIT NUMBER
04* *7,00
*7.00 tn-
*7.006
A *000
183.62
11-16-81
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
FII F rnPY
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
17'16-81 183,75 *7,00°H
DATE ISSUED PFP/MIT nln
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