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1982, 08-09 Permit: 82A-6912 WoodstovePLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 l% APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS Sprinklered mimic LEGAL DESCRIPTION - SEE ATTACHED i i5°tcc, Dyes ❑No ❑ Req'd. DESIGNER LOT Valuation 5. PARCEL NUMBER/S 2. [777BDIVISION ADDRESS ZIP Main Floor Upper Floors OWNER PHONE ADDRESS ZIP Actual Set Backs in Feet f—• t%Q L.©tJCA ekPLZ\ North South East West CONTRACTOR PHONE Size of Parcel j Zone Classification 4 q;ajdh.hniE Baths No. Stories I No. of Dwellings ADDRESS ZIP Type Const. Occupancy Sprinklered mimic i Dyes ❑No ❑ Req'd. DESIGNER 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. Basement 6. TYPENo. Baths No. Stories No. Rooms No. of Dwellings NEW ❑ALT. ❑ AD'N. ❑ RPL. El MVE. 7, OF ❑ OTHER ElBLD. ❑ PLMB. MECH. ❑ M.H. ❑POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) 8. FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWERUSE Ownership CODE 9. I UTILOITIES Public 13 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 INSPECTIONS Plumbing DATE OF APPLICATION_ SIGNATURE OF APPLICANT Mech. 40 SPECIAL APPROVALS I SPECIAL CONDITIONS: NO MF nnTF Plan Check Env. Health SEPA Planning Fire Marshall Mobile Home Co. Engineer I Other (Specify) Utilities Plans Examiner SEPA Checklist Technician PERMIT PERMIT IS NONTRANSFERABLE ` .4 C x. -, DCDIIAIT CVDIQCC nKir VCA. CQ/1M nATC nr ICCI IANIPC TOTAL $ `2p-� PERMIT NUMBER ir'* *444 0 04* *20,00 *2000 _ A *000 691.1 0809-82 2 6.479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 08g-82 69122 lIATC ICCI IGfI n, -I -f nnlT n111 *20,00a -