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1982, 09-20 Permit: 82A-8401 Woodstove
PLAN NUMBER APPLICATION/PERMIT -�y► 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. N. SbCo MLEGAL DESCRIPTION -SEE ATTACHED O�� OWNER � AD_ 3. D"—'rREss N , s©� CONTRACTOR 4 CG=. "rwc ry PHONE ZIP Actual Set Backs in 4RCtd---North IS., PHONE Size of Parcel ne ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement If 6. TYPE No. Baths No. Stories No. Rooms No. of Dwellin NEW ❑ALT. ❑ AD'N. 1:1 RPL. El MVE. 7, OFJ 1-1OTHER WORK El BLD. 1:1PLMB. CJ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req' of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) 8 �Tf�t�L� FEES COLLECTED VALUATION I SOURCE GAS ELECTRIC WATER SEWEROwnership USE CODE OF 9. UTILITIES Public ❑ Private ❑ Single $ 1 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 Building to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVErRRSE SIDE FOR REQUIRED INSPECTIONSS�! Plumbing �j� DATE OF APPLICATIO y - +r � - SIGNATt1RF OF APPI_ICANT� /►JKFAQ ��Q/)l�s Mech. SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer es Plans Examiner SEPA Checklist SPECIAL CONDITIONS: Plan Check SEPA Mobile Home Other (Specify) - 0 4 Specify) 04* *2000 *2000 A * t. 0 0CD 840.0 09-20-82 6,479. TOTAL $ C_'� . I WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. g ecInnician PERMIT IS NONTRANSFERABLE I Q`'7 1 t a.. -:8 .2 8 4 a 1 z * 2' 0, OT a F�- _