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1980, 09-16 Permit: 80B-302 Woodstove
PLHIN rvuMtsu-" APPLICATION/ PERMI ■ PERMIT NUMBER �/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT IC NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. S G✓ E�i� LEGAL DESCRIPTION - SEE ATTACHED LOT B K UB I ISION I PARCEL NUMBER/S OWNER PHONE 3. abc,& 6 ADDRESS ZIP Actual Set Backs in Feet / (i ✓Fid /t/ 79 -/a North South East West CONTRACTOR PHONE Size of Parcel Zone Classification 4. ADS ZIP Type Co7 Occupancy Sprinklered S E I ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor I Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement s. TYPE ,( LI NEW ❑ALT. ❑ AD -N. ❑ RPL. ❑ MVE. No. Baths No. Stories No. Rooms No. of Dwelling 7,OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd WORK BLD. ❑ PLMB. MECH. ❑ M. H. ❑ POOL I of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) s. ZJbov,-_ FEES COLLECTED VALUATION I SOURCE GAS CLECTRIC WATER SEWER Ownership USE CODE 9r$"D©. �'� UTILOITIES Public El ❑ Single $ 1 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 119/6.00 type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building 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 INSPECTIONS Plumbing 47. OGS DATE OF APPLICATION SIGNATURE OF APPLICANT Mach. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health SEPA ng Fars �. Engineer bli ant Examiner -PA Checklist jildin Technician p PERMIT IS NONTRANSFERABLE 1;- / %g PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Mobile Home Other (Specify) TOTAL $=� 02* *10,00 *101,,0 *1000 A 0 09-16-80 6479 04* *700 *7,00 v; *7.CpY - A 00G 09-16-80 6.479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0 9 6-�i`0 �,Q2 DATE ISSUED PERMIT NO. *17.00° TOTAL n C C L T