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1979, 10-01 Permit: 79-5084 Wood StovePLAN NUMBER APPLICATION/PERMIT N SPOKANE COUNTY - BUILDING CODES DEPARTMENT ,/ 99 -See'/ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE/6-11— 7G/ 04* *7.00 LEGAL DESCRIPTION - SEE ATTACHED *.7. 0 u1 *7.006 PHONE E *0.00 U ZIP 5 0 fl 3 99 ZIP NortRequh red SSet Backs in Feet 1South Eastt(West 10-01-79 6479, PERMIT NUMBER APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ADDRESS OWNER � pC ADDRESS 4, 9z�- PARCEL NUMBER/S �0& CONTRACTOR p MA t ADDRESS /2 44.1 PHONE Size of Parcel Zone Classification ZIP Type Con Occupancy Sprinklered Dyes DNo 0 Req'd DESIGNER PHONE Valuation Building Area In Sq. Ft. ADDRESS ZIP D W L Area Basement Area Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 7, OF WORK KNEW 0 ALT. 0 AD N. 0 RPL. 0 MVE. 0 BLD. CI PLMB. • �MECH: D M.H. 0 POOL 0 OTHER No. Bath No. Floor No. Room Rec. Room CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. DESCRIBE V1ORK�i. '^ 8. 14,1, 4r0 XXif ii4-3&' VALUATION 9 Source of Utilities f-O'zf'LX�L(1 i%/.L4G2C/� GAS ELECTRIC wl tM� WATER SEWER 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 o local law regulating construction or the performance of construction. X DATE /e9'- J 79 SIGNATURE DEPT. SPECIAL APPROVALS REQ'D. REC'D. ' Env. Health Planning Fire Marshall Co. Engineer Utilitie Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATO4T `f-7rt OFFICIAL.IIC4�¢J/ r(, / AIQ� APPROVED FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing r/ Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL ro WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 101-'0 IF: 7'9 5' 0 8.4 *7.00'°'i -�