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1981, 01-08 Permit G81A-0196 FurnacePLAN NUMBER APPLICATION/PERMIT /Y5 PESPOKANE COUNTY - BUILDING CODES DEPARTMENT PERMIT NUMBER btA - .01(if2 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS . E. 1061 Broa.dwa. LOT BLOCK JUL3U1 V IJI VIV OWNER 3 Tupper Realty ADDRESS E. 12929 Sprague CONTRACTOR 4 A&M Qu l i ty Heating Tnr ADDRESS E. 12710 Indiana 5. 6. D SIGNER Same ADDRESS Same CHANGE OF USE FROM TYPE 7, OF WORK ❑ NEW ❑ BLD. ❑ ALT. ❑ PLMB. PHONE 922-3200 ZIP 99216 PHONE 928-2100 ZIP 99216 PHONE ZIP TO ❑ AD'N. a MECH. a RPL. ❑ M.H. ❑ MVE. O POOL ❑ OTHER LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S Actual Set Backs in Feet North South East Size of Parcel Type Const. Occupancy Valuation Main Floor Upper Floors Area of Decks No. Baths Zone Classification Building Area in Sq. Ft. Garage Area Finished Basement No. Stories CERTIFICATE of EXEMPTION Storage Unfin. Basement No. Rooms Req'd. DESCRIBE WORK s. Replace gas furnace with new one VALUATION 9. SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER Enum. Dist. I Location (Area) Ownership Public ❑ Private ❑ USE CODE 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 or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION 1-5-81 SIGNATURE OF APPLICANT - SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SPECIAL CONDITIONS: Ga.s Furnace change out ,000 No. of Dwellings Rec'd- Not Req'd. FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home 7.00 Other (Specify/ R', `t'A TOTAL $ 04* *1600 * 1600 * 1600M A *0.00 1 9.5 01-08-81 z 6.479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. nician PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED 196Z *16.002g - PERMIT NO. TOTAL