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1980, 10-03 Permit: 80B-1416 WoodstoveAPPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. TYPENo. ❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7 OF 11 BLD. C1PLMB. AMECH. C1M.H. El POOL El OTHER _ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES No. of Dwellings JOB ADDRESS CERTIFICATE Req'd. LEGAL DESCRIPTION — SEE ATTACHED Not Req'd. WORK of EXEMPTION I L T ' BLO Enum. Dist. Location (Area) 8 PARCEL NUMBER/S VALUATION1 SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. 1UTILITIES1 I I 1SUBi3iVI5IUFj,, 1 2. 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 a permit does not resum Building to give authority to violate or cancel the provisions of any other state or local la, a ER PHONE i Plumbing �J kIJ DATE OF APPLICATION D '"'��'��/ SIGNATURE OF APPLICANT Mech. 2.. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health ADDRESS I 7 ZIP Actual Set Backs in Feet Planning o� P r Fire Marshall Mobile Home Co. Engineer a[ L/ fJT� North South East West Utilities CO2 O TRACTOR PHONE Size of Parcel Zone Classification 4. A WHEN MACHINE VALIDATED IN SEPA Checklist THIS BECOMES A PERMIT. AD RESS ZIP Type Const. Occupancy Sprinklered ❑Yes []No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5° ADDRESS ZIP Main Floor I Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. TYPENo. ❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7 OF 11 BLD. C1PLMB. AMECH. C1M.H. El POOL El OTHER Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION I ESCRIBE RK Enum. Dist. Location (Area) 8 FEES COLLECTED VALUATION1 SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. 1UTILITIES1 I I Public C3 Private 1:31 1 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 a permit does not resum Building to give authority to violate or cancel the provisions of any other state or local la, a rristn egulating c ructi or t performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO i Plumbing �J kIJ DATE OF APPLICATION D '"'��'��/ SIGNATURE OF APPLICANT Mech. 2.. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health SEPA Planning Fire Marshall Mobile Home Co. Engineer Other (Specify) Utilities TOTAL Plans Examiner WHEN MACHINE VALIDATED IN SEPA Checklist THIS BECOMES A PERMIT. Bui}tiing'rechVician'p PERMIT IS NONTRANSFERABLE .�,. ti IPERMIT NUMBER vZ3 6 a r 0 E, 141.6'`-' *7.U0`,'.