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1981, 02-09 Permit: 81A-1270 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. JOB (i ADDRESS I v 4AX1A16t V Lor suH IYl Lies AI 1i ot.) 2. 7 OWNER I r. o Lo,I/� '�,Iyb�U( 3 ADDRESS I» 1 1 0 'vl!"�)CV V t%€ BLOCK LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S 1$S 7) — 4707 PHONE P90 Actual Set Backs In Feet North (South East 'West 4. CON -e PHONE ADDRESS ZIP Size of Parcel j4ox-7O Typo Const. TVI Zone Classification i 4L& . WA Occupancy Sprinklered ❑Yes ONo 0 Req'd. 5. DESIGNER PHONE Valuation Building Area In Sq. Ft. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO • Area of Decks Finished Basement Unfin. Basement TYPE t1A NEW 7. OF WORK QLD. O ALT. O PLMB. 0AD N. 0 RPL. 0 MVE. Ef/ MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not 7.. DESCRIB _ W RKIZ MpF� l' ft\4N�lt I N 007 C—(o\/& VALUATION 9. JcQ SOURCE OF UTILITIES GAS ELECTRIC WATER Enum. Dist. Location (Area) SEWER Ownership Public 0 Private Y 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 r. . O 6 - ei SIGNATURE OF APPLICANT -7.4011 1'A Do SPECIAL APPROVALS NAME' DATE Env. F{ealth t2 Planning Fire Marshall Co. Engineer Nor 12010 • Utilities Pl ansjExaminer u1 « ?'Q. SEPA Checklist iltling tniclan SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building 'O Plumbing • Mech. Plan Check SEPA Mobile Home Other (Specify) 1% TOTAL $2-7• PERMIT NUMBER SIA --(2-10 02* *1000 * 1000 rn * 10.006 A *000 1268 02-09-8,1 2 6479 04* *17.00 * 17,00 * 17.006 • A *000 8 12692 02-09-81 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED 1'2 7101 *.27:0.0°. I� PERMIT NO. . TOTAL