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1979, 11-06 Permit: 79-7404 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 1. E 14/21 r a p Lor BL CK SueD 'SIO 2. OWNER LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S• 3. Q,cI4Al2.1) Hat ADDRESS F. I'ff23 CA"rALnn sPotemsE CONTRACTOR 4. sA. ADDRESS PHONE 92 29 ZIP C'9 9 16 Required Set Backs in Feet North 'South `East (West PHONE Size of Parcel . 1 Zone Classification ZIP Type Const. Occupancy Sprinklered Oyes ONo ❑ Req'd. 5. DESIGNER PHONE Valuation I Building Area in Sq. Ft. ADDRESS ZIP OWL Area I Basement Area r Garage Area Storage CHANGE OF USE FROM 6. TYPE 7, OF WORK TO Split Entry Split Level Rancher IA EW 0 ALT. 0 AD N. ❑ RPL. 0 MVE. 0 BLD. 0 PLMB. akIOIECH: 0 M.H. 0 POOL 0 OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE - of EXEMPTION Req'd. Rec'd. Not Req'd. DESCRIBE WORK $• WODD STOUE 1r -AU Trion)VALUATION I Source GAS ©Q of 9. Utilities ELECTRIC WATER SEWER I hereby certify that I have read and examined this applica ion 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 orlocal -law regulating construction or the performance /o C/OOjsttruuction. DATEi-✓-Y-�Y / / SIGNATURE "� "' " �- DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance ,SEPA Checklist SPECIAL CONDITIONS: DATE ./1-4-77 OFFICIAL J -L,./! APPROVED FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. _/.ts_ Plan Check SEPA Mobile Home Other (Specify) DO• 7 TOTAL $ / me M DATE 1 PERMIT NUMBER meq- 747(011 04* *7.00 *7.00 N *7.008 B *000 7403/ 11-06-79 / 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1117, 'O6.'i,7i9i 7.4O.4z 4.7,00°�