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1982, 02-08 Permit: 82A-866 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 JOB ADDRESS 1. LOT 2. BLOCK MCT»N LERALQII�ESCRIPTION — SEE ATTACHED SUBDIVISION PARCEL NUMBER/S OWNER 3 SG36t6 s7 csT�tZ ADDRESS \Ca WMC1 or AC o CONTRACTOR 4' ADDRESS a^M6 DESIGNER 5. ADDRESS PHONE ZIP gazt Actual Set Backs in Feet North 'South East 'West PHONE Size of Parcel 1 Zone Classification ZIP Type Const. Occupancy Sprinklered Oyes ONo 0 Req'd. PHONE Valuation Building Area in Sq. Ft. ZIP Main Floor Upper Floors -1 Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unf in. Basement TYPE 7. OF WORK «NEW 0 ALT. 0.,//AD N. 0 RPL. ❑ MVE. ❑ BLD. 0 PLMB. Vii/MECH. MECH. O M.H. 0 POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. . Recd. Not Req'd. DESCRIBE WORK 8• t 3Q'5t7 ja u.67-.11 1 Na G, .ez--pTOc 1r VALUATION 9. SOURCE OF UTILITIES GAS Enum. Dist. Location (Area) ELECTRIC WATER SEWER Ownership Public 0 Private 0 USE CODE I hereby certify that 1 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 APPLICATIOFW 2— C SIGNATURE OF APPLICANT' SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env Planning Ft Health Co. Enginee Utilitie Plans Examiner SEPA Checklist PERMIT 15 NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE PERMIT NO. TOTAL FEES COLLECTED Single $ Building Plumbing ��{{.,. Mech. Mao OD Plan Check • - SEPA Mobile Home Other (Specify) TOTAL $ ©•r-tr PERMIT NUMBER 2,0- - 8�G 04* *2000 *20.00 *20.006 A *000 8 8652 . 02-08-82. 6479. 1— WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. i, : 1. ii, i ( 1 0;21;+;9 8 ;'81.2' DATE ISSUED 866'z *2O.0'Oa.�