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1981, 01-08 Permit G81A-0196 InspectINSPECTION RECORD OWNER LOCATION CONTRACTOR NSE W SET BACKS TYPE OF WORK r- FINAL INSPECTION. y4 1 I-i/ia cdG DATE REMARKS: HUMORR Rem TO APPLICATION/PERMIT t5 / PC 1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99360 / MOM 16636T6 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES O ADDRESS i 1e16.1tR-3�70,ER LEGAL DESCRIPTION - SEE ATTACHED OWNER Tulroer Realty ADORF 8. 12ss 929 Sprague, CONTRACTOR AAaM Oualit)T He1tI ng Ina_ AODRESS 4,1R. 12710 Indiana ...26,ER, 6' ADDRESS Seine PHONE 922-1200 ZIP99216 PHONE 99R-91 no d99216 PHONE ZIP PARCEL NUMe0RIs Actual Set Backs In Foal mnh Isoath 5W or Parse Too. Corot. Hun an Occumncy as Zone Classification sputum,. DVes 0No 0 Rae•0. u1Mlno Arm In 5a. Ft 0esae. Arm stare. CHANGE OF USE FROM TO T'PE 0 NEW 0 ALT. 0 AWN. at RN— 0 MVE WORN 0 OLD. 0 PLMB. CaMECH. 0 M.H. ❑ POOL • DESCRIBE WORK ilk Replace gea furnace with new one VALUATION SOURCE OAS ELECTRIC WATER f0. UTIUGES 0 OTHER No. Baths ad B,mmant No. Stars. Unlln. Basement Na. Rooms No. of DwellIn9 CERTIFICATE I EXEMPTION Raa'd. SEWER Enum. Dirt. Ownanhlo Public CI Private C on (Arml USE CO0E ,I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included jon reverse side, and know the some to be true and correct cut -finances provisions of laws and nances governing this )type of work will be complied with whether specified herein or not. The granting of n pnlnhl does not presume Ito give authority to violate or cancel the provisions of any other state or local law regulating, cunstructon or the iperformance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS ( DATE OF APPLICATION 1 5 81 ' SPECIAL APPROVALS NAME DATE km, Hamill WondinO I 11 FI.I) Marshall egl0natne., SIGNATURE OF APPLICAN SPECIAL CONDITIONS: GNU Furnace change out ,000 FEES COLLECTED 5' g1 $ Building Plumbing Mech. Pion Check SECA Mobile Hams Other (Specify) it.(,or TOTAL S.1 '.00 04• •1600 •1600 •1600e A •coo S 19..53 01-08-81 5 697A� . ..... nP$IFp'y 41111