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1982, 10-21 Permit: 82A-9935 Woodstove
PLAN NUMBER APPLICATION/ PERMIT -�/ PERMI—yTJN^1�UMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DESIGNER W PHONE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1.LOT JOB A DRESS � S 5. ADDRESS LEGAL DESCRIPTION — SEE ATTACHED Main Floor Upper Floors BLOCK Storage BDI IO PARCEL NUMBER/S 2. Unfin. Baseme 6. OWNER ,n � 3. rI � No. Stories P NE 21: i No. of Owe' AD ESS 1 P Actual Set Backs in Feet CERTIFICATE Req'd. Rec'd. (i1' WORK �� I DESCRIBE WORK � Enum. Dist. Location (Area) FEES COLLECTED North South East West CONTRACT PHONE Size of Parcel Zone Classification 4. ADDRESS ZIP Type Const. Occupancy Sprinklered I ❑Yes ❑No ❑ Req'd. DESIGNER W PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Baseme 6. No. Baths No. Stories No. Rooms No. of Owe' TYPE 2NFW ❑ ALT. ❑ 'N. 11 RPL. C1MVE. 7, OF ❑ OTHER LJ BLD. ❑ PLMB. MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not R WORK of EXEMPTION I DESCRIBE WORK � Enum. Dist. Location (Area) FEES COLLECTED s. VCA -'11 –7 VALUATION SOURCE I GAS ELECTRIC I WATER SEWER lOwnershipI USE CODE OF 9. UTILITIES Public El Private E] Single $ 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 Building 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 regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing © IIATF OP APPI IrATlnnf�l I C/" [X 1 f7 .:1 CIrKlATI IRF (1F APPI WANT- � �%1��-�" McCh• moi SPECIAL APPROVALSSPECIAL CONDITIONS: NAME DATE Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist 7711,11c g Te I PERMIT IS NONTRANSFERABLE Plan Check SEPA Mobile Home Other (Specify) /�,� TOTAL $ Z ( 2 v I L 'j (_ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1'0'-2''82 993.523 *•20,00°x' - CL C 4: n M