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1982, 10-25 Permit: 82B-0108 Wood StovePLAN NUMBER . APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3•COPIES 1. 2. 3 JOB ADDRESS E. 13614 Main Avenue LEGAL D'$CRIPTION — SEE ATTACHED LOT OWNER BLOCK 3 SUBDIVISION A0/fel Robert Barbero PHONE 928-6487 PARCEL NUMBER/S ADDRESS Same 19216 Actual Set Backs in Feet North (South East (West CONTRACTOR f I a z-t&lldcl,.by °wrier ADDRESS PHONE Size of Parcel Zone Classification ZIP Type Const. Occupancy Sprinklered Oyes ONo 0 Rebid. 5. DESIGNER PHONE Valuation I Building Area in Sq. Ft. ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK ZIP Main Floor Upper Floors 1 Garage Area • Storage TO ErliEW 0 ALT- r0 AD N. 0 RPL. 0 MVE. W 0 BLD. 0 PLMB. MECH. 0 M.H. 0 POOL • Area of Decks Finished Basement Unfln. Basement 0 OTHER - No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION R eq'd. Recd. Not Req'd. DESCRIBE WORK 8. Wood Stove Insert Enum. Dist. Location (Area) VALUATION 9. SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER Ownership Public 0 Private 0 USE CODE I 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 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 DATE OF APPLICATION f` /O/Aa/SS.?- SIGNATURE OF APPLICANT/` SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist g SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. 20 00 Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 20.00 PERMIT NUMBER !J% E3 —0105 04* *20.00 *20.00 A *000 10.7g . 10-25-82 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. - 1iV7:1215"7P! 1 0:8 5 *2Q0.0.2� DATE ISSUED r, ) PERMIT NO. TOTAL