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1980, 10-13 Permit: 80B-1889 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 FOTOoSSK 7/. VI51 2. 3Qz _ tcocc# divAct AO RESS P , .0866 2ft.ta to 04,,4pjleooa-4.44ce CONTRACTOR 4. 5. ADDRESS DESIGNER PHONE 9.24( --?-2i 7 LEGAL DESCRIPTION - SEE ATTACHED ffA RC EL UMB E R/5 ZIP 99206 Actual Set Backs in Feet North ISOuth East 'West PHONE Size of Parcel Zone Classification ZIP PHONE Type Const. Occupancy Sprinklered Dyes ❑No ❑ Req'cl. Valuation •j Building Area In Sq. Ft, ADDRESS ZIR Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 0 NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE. 7. OF 0OTHER WORK 0 BLD. 0 PLMB. i MECH. 0 M.H. 0 POOL ' ESCRIBE B.((VAJN2 1A-pt-L4l, w(t.—_Kt SOURCE /AS ELECTRIC SEWER OF 9. UTILITIES No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req•d. Re 'd. Not Req'd. Enum. Dist. Location (Area) Ownership Public ❑Private ❑ 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 /D—/ 3—RD SIGNATURE OF APPLICANT X td'^"'a- cidhav SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utllilies Plans Examiner SEPA Checklist 13Z1ng ech "cion ctc, SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) 7s TOTAL $ 7� M PERMIT NUMBER 70L5—i889 04* *700 *7.010 tz *7000 A *000 0 • 18888 10-13-80 g 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 70 01'118t;0( 1'88.90 *.7,002. - DATE ISSUED PERMIT NO, TOTAL Y a O U —J LL