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1980, 12-03 Permit: 80B-4385 WoodstoveER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 v APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB DDRESS LEGAL DESCRIPTION — SEE ATTACHED LOT I BLOCK ISUE I PARCEL NUMBER/S I N P 9� -12(0 3. D EowNEl} ASS ZIP Actual Set Backs in Feet �j 0 60 1 (� � North South East West COA, TO ILS} PHONE Size of Parcel Zone Classification ✓ ilv_�1 4' ADDRESS ZIP Type Const. Occupancy Sprinklered Dyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors Garage Area I Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. o. Baths No. Stories No. Rooms No. of Dwellings TYPENNEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF/ ❑ OTHER 1:1 BLD. El_ PLMB. MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION DESC IBE WORK Enum. Dist. Location (Area) FEES COLLECTED 8 © ® 19 v VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9 �i OF I UTILITIES Public EI Private ❑ 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 type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building 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 INSPE NS Plumbing 12--2-86, A_, DATE OF APPLICATION SIGNATURE OF APPLICAND"� - Mech. SPECIAL APPROVALS NAME DATE nv. Health anning o. Engineer ns Examiner SPECIAL CONDITIONS: Plan Check SEPA Mobile Home Other (Specify) PERMIT NUMBER D L7 TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 7 ; 7 ng TeTPf ran PERMIT IS NONTRANSFERABLE 1,'2a-1 3-* SD' 4'3 8.:5 * 7, Di0 a F