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1982, 10-19 Permit: 82A-9813 Woodstove
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 3 COPIES JOB ADDRESS 1. E 107Z-2- rok.2U 8uJ LEGAL DESCRIPTION - SEE ATTACHED LOT BLOCK 2. OWNER 3. eAlOttaNi ADDRESS E- 1©7Z -Z- CCOONTRACTOR 4. ADDRESS 1wL6 DESIGNER 5' ADDRESS SUBDIVISION PHONE PARCEL NUMBER/S Octet -2 - o -n o ZIP Actual Set Backs in Feet North 'South East (West PHONE Size of Parcel 1 Zone Classification ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No 0 Req'd. PHONE Valuation/ /,��' -fl C��V 4 Building Area in Sq. Ft. ZIP Main Floor Upper Floors I Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK 1NEW 0 ALT. ❑ D N. 0 RPL. 0 MVE. 0 BLD. 0 PLMB. 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. 1Atr� ui2N t+�f OF 9. UTILITIES VALUATION SOURCE S rla c� S t1.7 irmAsot 4 ten GAS ELEC RIC WATER SEW R Enum. Dist. Location (Area) Ownership Public 0 Private 0 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 regula ing construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS 1 DATE OF APPLICATION /10-19—k2— SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist ing T hnician ,fie i a& 6 SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Com/ Plumbing Mech.Oir> Plan Check SEPA Mobile Home Other (Specify) TOTAL PERMIT NUMBER 02* 04* * 20.00 *2000 * 4000 tri * 40006 *000 0 9 2 1.2 10-19-82 647c 4 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 10-19-82 DCDIIAIT CVDIDCC f,NC VCAD CDf1M r.ATC ncICCIIA I,If•C I, I,,..rr, 98135 *41002g -