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1980, 02-01 Permit: 80-816 Wood Stove
PLAN 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 4 COPIES JOB ADDRESS 15° nt✓L A LEGAL DESCRIPTION - SEE ATTACHED LOT BLOCK SUBDIVISION PARCEL NUMBER/S OWNER 3. � iA ' LIN HA ADDRESS r (/] f6 PHONE �2-0 ZIP 2d0 4. CONTRACT_ 4 ADDRESS DESIGNER 5. ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK 21 NEW ❑ ALT. ❑ BLD. ❑ PLMB. PHON ZIP PHONE ZI P TO ❑ AD'N. 0 RPL. ❑ MVE. G VMECH: ❑ M.H. 0 POOL ❑ OTHER Required Set Backs in Fee North South East Size of Parcel Type Const. Valuation Occupancy West Zone Classification Sprinklered ❑Yes ❑Na ❑ Req'd. Building Area in Sq. Ft. DWL Area I Basement Area Garage Area Split Entry Split Level No. Baths No. Floors Storage Rancher No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8. IA ©O = O✓� VALUATION 9. Source of Utilities GAS ELECTRIC WATER I hereby certify that I have read and on reverse side, and know the same type of work will be complied with to give authority to violate or cancel performance/of construction. DATE/Cc-:. !J / 4 SEWER examined this application and have read the "NOTICE" provisions included to be true and correct. All provisions of laws and ordinances governing this whether specified herein or not. The granting of a permit does not presume the provisions of any other state or local law regulating construction or the SPECIAL APPROVALS DEPT. REQ'D. RECD. SIGNATURE Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CSNDITIONS: DATE A VED FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) 00 TOTAL $ M PERMIT NUMBER DATE 04* *7.00 *7.00 N *7.006 E *0.00 8 81.52 02-01-80 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS B COM $ A ERM IT. 02-01- 0 81.6 *(.00°'I-