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1984, 01-11 Permit: 84A-280 Wood StovePLAN NUMBER APPLICATION /PERMIT SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675 STREET ADDRESS /_rruot.IlT. oo*.IrLETE UP.IDEFW D Or`i1f & PARCEL I N D T.O MARC 0 oorsEo 1. LOT 2. 1303 I P R-1) BLOCK SUBDIVISION OWNER 3 r1) frit4 . �N% MAILING ADDRESS 5A1/1V PHONE czU -3O& CONTRACTOR 4. ADDRESS LICENSE EXPIRES DESIGNER 5. ADDRESS CHANGE OF USE FROM 6. TO PHONE ZIP PHONE ZIP PHONE LEGAL DESCRIPTION: Actual Set Backs in Feet to: North South East I West Size of Parcel Type Const. Occupancy New Const. Valuation Zone Classification Residential ❑ Commercial ❑ Sprinklered ❑Yes ❑No ❑Req'd. Remodeled Valuation ZIP Main Floor Upper Floors Garage /Storage TYPE ,,Q NEW ❑ ALT. ❑ AD' N. El RPL. ❑ MVE. 7. OF ❑ OTHER WORK ❑ BLD. ❑ PLMB.7'MECH. ❑ M.H. ❑ POOL 8. DESCRIBE WORK VALUATION 9. SOURCE UTILITIES GAS ELECTRIC WATER PUBLIC ❑ PRIVATE ❑ SEWAGE SEPTIC ❑ SEWER ❑ Cover Deck Uncv. Deck No. Baths Certif1. of Exempt. or Variance No. Floors Total Bldg. Floor Area Greenhouse Fin. Basement No. Fin. Rooms Required Yes❑ No❑ Received YesE Non Shorelines /Flood Hazard Yes❑ Not Applic. ❑ 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 au- thority to violate or cancel the provisions of any her state or local law regulating construction or the performance of construction. SEE R -, • RSE S ' E FO - RE ! . ED INSPECTIONS SIGNATURE OFD ����� APPLICATION J PRELIM. FINAL DATE Planning Fire Prq..ont Engineer Utilities SEPA Plans Building Trh E SIDE FOR NOTI E r PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Unfin. Basement No. Dwellings Number Plans Required ❑ Received ❑ FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL 41 PERMIT NUMBER 4 /1* *20.00 *20006 A *0.00 27.92 0.1 -11 -84 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 01 -11 =84 28.05 *2 ;0.00 °I DATE ISSUED PERMIT NO. TOTAL