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1983, 01-06 Permit: 83A-125 WoodstovePLAN 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 STREET ADDRESS PARCEL NO. 2. LOT I BLOCK I SUBDIVISION LEGAL DESCRIPTION: O NERPHONE PHONE 3. C)W MAI G ADDRESS ZIP Actual Set Backs in Feet to: O C iti'> > North South East West CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential ❑ 4. bWw I Commercial ❑ ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area 5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement 6. TYPE No. Baths No. Floors No. Fin. Rooms No. Dwellings 7 OF W ❑ALT. ❑ AD;N. ❑RPL. ❑ MVE. ❑OTHER WORK ❑ BLD. ❑ PLMB. ECH. ❑ M. H. ❑ POOL Certifi.ofExempt. Required Yes❑ No 1-1 Number or Variance Received Yes❑ No❑ DESCRIBE WORK 8 t/�S �{� �r C AkrAN61 Shorelines/ Flood Hazard Flans Required El o(y Vj jIA4SOAXZ Yes❑ Not Applic. ❑ Received ❑ VALUATION 9• I SOOURCE GAS EL CTRIC PUBLIC WATER SEPTIC O Ownership FEES COLLECTED UTILITIES PRIVATE ❑ SEWER ❑ 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 Q C9p Building l 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 any other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing SIGNATURE OF APPLICATION q© OWNER OR AGENT -- �� `� DATE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities Plans PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building IN 180 DAYS Tech. IWI Plan Check SEPA Modular/ MFG.Home Other (Specify) PERMIT NUMBER SSA 1Z - O TOTAL $ I WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE IJS4Eb 0 6— 8 PERM IT NO1 25 2 * 3 O. O OTOTAL CL O CJ W J ILL.