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1982, 08-18 Permit: 82A-7240 WoodstovePLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 L./ APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. S • l�L�\ M,�w -PA�� "C)n , LEGAL DESCRIPTION -SEE ATTACHED OWNER 3. t3J rt_L' ADDRESS CONTRACTOR 4 CQ A4 - PHONE ZIP Actual Set Backs in Z= North Sot PHONE Size of Parcel a ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor I Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. TYPE NEW ❑ALT. ❑ RPL. ❑ MVE. No. Baths No. Stories No. Rooms No. of Dwelling 7, OF OTHER ,❑,//AD'N. WORK 1:1 BLD. ❑ PLMB. KJ MECH. 1:1M.H. EIPOOL CERTIFICATE Req'd. I Recd. Not Req'd of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) 8• W N% N STCyu+E, FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. I UTILOITIES Public ❑Private ❑ ingle $ 1 hereby certify that I have read and examined this application and have read;the'NICE" ded on reverse side, and know the same to be true and correct. All provisions ofordinathis type of work will be complied with whether specified herein or not. The grapermimeto Building anudeid give authority to violate or cancel the provisions of any other state or locaating theperformance of constructionn. SEQE'REVERSE SIDE FOR REQUIRED INSPECTPlu ing OF 9-19-92— Q� DATE APPLICATION` SIGNATURE OF APPLICANTMech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE ning Mar Co. Engineer ns Examiner ng /chnician ` _ _ - - 10- r - PERMIT IS NONTRANSFERABLE Plan Check SEPA Mobile Home Other (Specify) TOTAL $20-010 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0'8.-l8 82 72402 1 - 2 '•L1'. *2a00aP' -