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1983, 06-14 Permit: 83A-5217 Wood StovePLAN NUMBER i APPLICATION/PERMIT SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS N 1>RD TO MAKE 3 COPIES PARCEL NO. STREET 1.13 7 & - ADDRESS LOT 2. BLOCK SUBDIVISION 3. ° K L- I(MUIJ MAILING ADDRESS - 1360? NINKI CONA�TOi� 4. ADDRESS P�5..Ne, — 47z4PHONE IPHONE LICENSE EXPIRES LEGAL DESCRIPTION: Actual Set Backs In Feet to' North (South East I West Size of Parcel Zone Classification Residential 0 Commercial 0 ZIP Type Const. Occupancy Spr nklered OYes DNo OReg 'd. 5. DESIGNER PHONE New Corot. Valuation Remodeled Valuation Total Bldg. Floor Area ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM 6. TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement TYPE NEW 0 ALT. 0 AD' N. 0 RPL. 7• OF WORK 0 BLD. 0 PLMBAMECH. 0 M.H. 0 MVE. 0 POOL 0 OTHER No. Baths No. Floors No. Fin. Rooms No. Dwellings Cartifl. of Exempt. cr Variance Required Yes❑ No❑ Received Ves0 No0 Number 8. DESC, f�WK S -OV Shorelines/Flood Hazard Yes Not Applic.0 Plans Requ red 0 Received 0 VALUATION 9. SOURCE OF UTILITIES GAS ELECTRIC WATER PUBLIC 0 PRIVATE 0 SEWAGE SEPTIC 0 SEWER 0 Ownership Public 0 Private 0 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 to give au- thority to violate or cancel the provisions of any th9r state or local law regulating construction or the performance of construction. SEE REVERSE SIDE F r R REO • IRED INSPE 1 r NS . SIGNATURE OF APPLICATION / �, _ � 6 OWNER OR AG .:, /� DATE SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. ,FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) Z0 - TOTAL $ PERMIT NUMBER 04* *2000 *20006 A *0.00 S 521.62 06-14-83 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 016;--1.14=8'3 52171 DATE ISSUED ,+ PERMIT NO. *20.00.a� TOTAL