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1982, 09-24 Permit: 82A-8665 Wood Stove(rLAN 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 1. N LEGAL DESCRIPTION — SEE ATTACHED LOT 2. BLOCK SUBDIVISION OWNER 3. ADDRESS PHONE C.AR. rvT1(a. 2 PARCEL NUMBER/S GA�v :IN ZIP Actual Set Backs in Feet North 'South East (West 4' ADDRESS VV DESIGNER CONTRACTOR Ws. rlete* PHONE Size of Parcel 1 Zone Classification 5. ZIP Type Const. Occupancy Sprinklered Eyes ❑No ❑ Req'd. PHONE Valuation 1 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 Unfin. Basement TYPE 7. OF WORK /NEW 0 ALT. EliAD'N. 0 RPL. ❑ MVE. 0 BLD. 0 PLMB. !J MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK 8. Vt.N VALUATI ON 9. SOURCE OF UTILITIES Enum. Dist. I Location (Area) GAS ELECTRIC WATER SEWER Ownership Public ❑ Private ❑ 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 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 regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO S DATE OF APPLICATIO SIGNATURE OF APPLICANT SPECIAL APPROVALS SPECIAL CONDITIONS: 1tAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist B ''ding Technician PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing Mech. S2d)•Me) Plan Check SEPA Mobile Home Other (Specify) TOTAL $ `o. c PERMIT NUMBER f3ZA Se 5" 04* *2000 86642 09-24-82 z 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 09-'24i-82 866.5z *20.00a172 - PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL