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1980, 04-07 Permit: M80-3156 WoodstovePLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 -COPIES 1. 2. 3 JOB ADDRESS S. 35/0 LOT BLOCK • BATES ROAD SUBDIVISION LEGAL DESCRIPTION — SEE ATTACHED OWNER C 4'hRLE P-- CATO PHONE 428=7785f - PARCEL NUMBER/S ADDRESS s. 3n0 BATES tOM ZIP 89206 Actual Set Backs in Feet North !South East 'West 4. CONTRACTOR SAME i PHONE Size of Parcel 1 Zone Classification ADDRESS ZIP TypeConst. Occupancy Sprinklered Dyes ONo 0 Req'd. 5. DESIGNER PHONE Valuation I Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unf In. Basement TYPE 7. OF WORK CJ NEW 0 ALT. 0 ADSN. 0 RPL. D MVE. Y1M 0 BLD. 0 PLMB. ECH. 0 M.H. ❑ POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. DESCRIBE WORK 8. Wool $-TOV[= INS'T'f11-A1101s4 VALUATION SOURCE GAS OF 9. UTILITIES Enum. Dist. Location (Area) ELECTRIC WATER SEWER Ownership Public 0 Private 0 USE CODE I hereby certify that 1 have read and examined this application and have read the "NOTICE" provisions included on reverse side, and know the same to be true and correct. All provisions of Taws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or e performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION 5/ -1 -go ( DATE OF APPLICATION SIGNATURE OF APPLICANT SPECIAL APPROVALS '.'NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building Technician SPECIAL CONDITIONS: PERMIT IS. NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single Sik$ Building Plumbing 17* Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ M PERMIT NUMBER to -3S5-6 04* *7.00 *7.00 N 31 5.5� 04-07-80 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. ,!4;e •:01q.1_ aI 0, DATE ISSUED 3115„65 *7.002_ - PERMIT NO. TOTAL