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1983, 08-04 Permit: 83A-7385 Wood StovePLAN 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 1. tJ . t (o 1'5 FEc T PARCEL NO. LOT 2. BLOCK SUBDIVISION OWNER 3. MucC 4c1JSEN MAILING ADDRESS N . L(vt3 Fat"i CONTRACTOR eArvIC ADDRESS 5AV4C DESIGNER 4. 5. PHONE PHONE LEGAL DESCRIPTION: ZIP c c -2.0C Actual Set Backs In Feet toy North 'South [East I West LICENSE EXPIRES PHONE Size of Parcel 1 Zone Classification Residential 0 Commercial 0 ZIP Type Const. Occupancy Spr'nklered OVes ONo DReq'd. PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse 6. CHANGE OF USESEFROM TYPE �t4EW 7. OF WORK 0 BLD. TO Cover Deck Uncv. Deck Fin. Basement UnIIn. Basement 0 ALT. DAD' N. D RPL. 0 MVE. 0 PLMB. ❑ MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Floors No. Fin. Rooms No. Dwellings Certdi. of Exempt. or Variance Required Yes0 No0 Received Yes No❑ Number 8. 9. DESCRIBE WORK wino VALUATION Shorelines/Flood Hazard VesD Not Apollo. 0 Plans Requ red 0 Received 0 SOURCE GAS F UTILITIES ELECTRIC WATER PUBLIC 0 PRIVATE 0 SEWAGE 'SEPTIC 0 SEWER 0 Ownership Public 0 Private 0 I hereby certify that I have read and examined this appl cation 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 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 F REOUIF}ED INSPECTIONS SIGNATURE OF OWNER OR AGENT _ %LW APPLICATIQ{J g— q— DATE I� 0 �7 SPECIAL APPROVALS SPECIAL CO PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. 97 y TIONS: (SEE REVERSE SIDE FOR NOTICE) PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS FEES COLLECTED Building Plumbing Mach Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ ro.co PERMIT NUMBER OSA — 7 6 04* *2000 - *20.006 A *000 8 7384 08-04-83 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOME A PE IT ((IInp t (I DATLMf35UEDt.4 ? 2a00AL -E at jG(fi /214 T ja ��P . % t �p / E U� CA( 46 ( 16157` l( t1r v-rofr u1`kc7 iledte p * ,Ur6r3 r �d7zr�=� dz�t LS6- g P/e ef(eic« ice_ on -6-415 Vv-aX yoc“ 4�`.ke .,� "Teas at ymP tp, 5p yore) 664