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1982, 01-27 Permit: 82A-0665 Wood StovePLP.N 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 JOB ADDRESS S, /rales C Li NTC t%i 12 OPP LEGAL DESCRIPTION - SEE ATTACHED LOT BLOCK SUBDIVISION PARCEL NUMBER/S OWNER 3 D01*V S ttAT F 1 E -LD PHONE 3s Z-3 ADDRESS /6/t.1 ZI P IC/ % ICs Actual Set Backs in Feet North 'South East 'Wes 4. CONTRACTOR ADDRESS DESIGNER 5. ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK ❑ NEW ❑ BLD. ❑ ALT. ❑ PLMB. PHONE ZIP PHONE ZIP TO ❑ AD'N. ❑ MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL El OTHER DESCRIBE WORK 8. Woo c,15-TDY'iE VALUATI ONSOU RCE 9. OF UTILITIES GAS ELECTRIC WATER SEWER Size of Parcel Zone Classification Type Const. Valuation Main Floor Occupancy Upper Floors Area of Decks No. Baths Sprinklered ❑Yes No ❑ Req'd. Building Area in Sq. Ft. Garage Area Finished Basement No. Stories CERTIFICATE of EXEMPTION Enum, Dist. Storage Unfin. Basement No. Rooms Req'd. Location (Area) Ownership Public ❑ Private ❑ USE CODE 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 authority to violate or cancel the provisions of any other state or local law r_•ulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO DATE OF APPLICATION //2-7/82. SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Enginee Utilities Plans Examine SEPA Checklist Building Technician SPECIAL CONDITIONS: No. of Dwellings Rec'd. Not Req'd. FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) CC /O XX /0 rqt OC TOTAL $ 20 XX PERMIT NUMBER 82 A-- (> 66„ 5' *2Q00 *20.00 664 0,1-27-82 6479. • WHEN MACHINE VALIDATED IN THIS SPACE, PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE THIS BECOMES A PERMIT. ' 01q7_82 L L nn PERMIT NO- Z * 2 'ACV DATE la F DATE ISSUED FII F (:t1PY