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1983, 10-17 Permit: 83B-512 Wood StovePLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1. STREET ADDRESS tea. 170"3 r tt /.3 PARCEL NO. LOT 2. BLOCK SUBDIVISION OWNER 3. MAILING ADDRESS S . (7C/- -Z— i Y1/4..rTG CONTRACTOR 4. ADDRESS S s3 Y'vL6 DESIGNER 5. PHONE PHONE LEGAL DESCRIPTION: LICENSE EXPIRES ADDRESS CHANGE OF USE FROM 6. ZIP A.zt 4, PHONE ZIP PHONE ZIP TO TYPE /NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE. 7.WORK ❑ OF BLD. ❑ PLMB. al//MECH. ❑ M.H. ❑ POOL ❑OTHER Actual Set Backs in Feet to: North 'South I East 1 West Size of Parcel Zone Classification Type Const. Residential 0 Commercial O Occupancy Sprinklered EYes ENo ❑Req'd. New Const. Valuation Main Floor Cover Deck Remodeled Valuation Total Bldg. Floor Area Upper Floors Garage/Storage Greenhouse Uncv. Deck Fin. Basement Unfin. Basement No. Baths No. Floors No. Fin. Rooms No. Dwellings Certif1. of Exempt. or Variance Required Yes No❑ Received Yes❑ No❑ Number 8. 9. DESCRIBE WORK (,t7CCdtip�� t2? VALUATION Shorelines/Flood Hazard Yes Not Applic. ❑ SOURCE UTILITIES GAS ELECTRIC WATER PUBLIC ❑ PRIVATE ❑ SEWAGE SEPTIC ❑ SEWER El 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 arty other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR J . UIRED INSPECTIONS APPLICATION 2 DATE �©/ 1.0 � 7 � SIGNATWIE OF OWNER OR AGENT SPECIAL APP •r ALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. fG/7 ECIAL CONDI IONS: (SEE REVERSE SIDE FOR NOTICE) PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Plans Required ❑ Received ❑ FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) -o-fJc TOTAL $ PERMIT NUMBER 0.3 519—, 0.4* *2000 51.1 10-17-83 6479: WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ItSBED 1 I 8 3, PERMIT NO. 1. 2 z *2O.00,rbfAL F , mak'-ii 0 Z j J -a- ti; 30' - 1u 21 • r-r� r ►--t z8t- Ou 201- 0 0 CJJ 140'-0" E,�►� T.r`rt c T,�. ` F= . N 140'-c) j.1 IL-1 J, 71 C t�J 0 co 22'-0" 2O' - o' 11 i II LC- LST Gl