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1983, 03-31 Permit: 83A-2456 WoodstovePLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 1. LOT 2. OWNER 3. MAILING � c 11 4. -F ADDRESS DESIGNER 5. ADDRESS APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES PARCEL NO. Actual Set Be North LICENSE EXPIRES HONE Size of Parcel ZIP Type Const. ZIP Main Floor RIPTION: PERMIT NUMBER - 24 t eet to: _ South East West c, Zone Classification Residential ❑ Commercial ❑ Occupancy Sprinklered Dyes 11 No ❑Req'd. n Remodeled Valuation Total Bldg. Floor Area Upper Floors Garage/Storage Greenhouse 9 UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private ❑ 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 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 RE ERSE SIDE FOR REQUIRED INSPECTIONS SIGNATURE OF APPLICATION t,3 i I OWNER OR AGENT DATE SPECIAL APPROVALS I SeECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Env. Health Planning Prevent. Utilities Plans PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building T ti IN 180 DAYS Building Plumbing Mach. 0— Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 03'31'83 ?45,62 DATE ISSUED PERMIT O. *20,OOfAAL C C C L CHANGE OF USE FROM TO Deck Fin. Basement Unfin. Basement s.No. Floors No. Fin. Rooms No. Dwellings TYPE NEW ❑ALT. ❑AD'N. ❑RPL. ❑ MVE.7 OF WORK ❑ BLD. ❑ PLMB.�IGECH. ❑ M.H. ❑OTHERRequired ❑ POOL rDeckUncv. Yes❑ No❑ Number Received Yes❑ No❑8 DESC IBE WORK V Flood Hazard Plans Required ❑Q(� o otApplic. ❑ Received ❑ VALUATION SOURCE OF GAS ELECTRIC WATER PUBLIC ❑ SEWAGE SEPTIC ❑ ownership FEES COLLECTED 9 UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private ❑ 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 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 RE ERSE SIDE FOR REQUIRED INSPECTIONS SIGNATURE OF APPLICATION t,3 i I OWNER OR AGENT DATE SPECIAL APPROVALS I SeECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Env. Health Planning Prevent. Utilities Plans PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building T ti IN 180 DAYS Building Plumbing Mach. 0— Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 03'31'83 ?45,62 DATE ISSUED PERMIT O. *20,OOfAAL C C C L