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1983, 09-29 Permit: 83A-9694 WoodstovePLAN NUMBER APPLICATION /PERMIT PERMIT NUMBER SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY b NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES STREETADDRESS PARCEL NO. LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. OWN R ObE PHONE 3. MA G AP/DR--ESS ZIP Actual Set Backs in Feet to: tl�J� I l.l�IfV922 North South East West CONTFACT2P, ENSE EXPIRES FYHONE Size of Parcel Zone Classif ication Residential 4 Commercial ❑ ADDRESS ZIPType Const. Occupancy Sprinklered ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area 5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unf in. Basement 6. No. Baths No. Floors No. Fin. Rooms No. Dwellings TYPE PI NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF�,,v� ❑ OTHER WORK ❑ BLD. ❑ PLMB. MECH. ,A�J"M.H. ❑ POOL Certifi.ofExempt. Required Yes❑ No❑ Number . or Variance Received Yes❑ No❑ DESCStI� ORK �y Shorelines/ Flood Hazard Plans Required ❑ 8• Zoo yes Not Applic. ❑ Received ❑ VALUATION I SOOURCE GAS ELECTRIC WATER IC ❑ SEPT WAC O Ownership FEES COLLECTED 9 UTILITIES PRIVATE ElSEWER 1:1 Public ❑ Private _T❑ 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 Building 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 REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing SIGNATURE OF��� _ Q APPLICATION _ OWNER OR AGENT �"�'�/` DATE — Mech. 0,9� SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Engineer Utilities SEPA Plans PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building IN 180 DAYS Tech. Plan Check SEPA Modular/ MFG.Home Other (Specify) TOTAL $ �J ' I WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. ��}} DATE 'IS ISSUED n _ ` ` PERMIT 'NO. 7 �i U %' AL O C1 W J 6L