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1979, 11-15 Permit: 79-7931 WoodstovePLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 TYPE I{i Ew ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE. 7, OF 1El OTHER Req'd. Recd. Not Req'd WORK ❑ BLD. ❑ PLMB. 1=YMECH: ❑ M.H. ❑POOL CERTIFICATE of EXEMPTION DESCRIBE WORIJ FEES COLLECTED 8. WOOD VALUATION Source GAS ELECTRIC WATER SEWER of 9.Utilities Single $ 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 Building 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 al law regulating construction or the performance of construction. 00 Plumbing ' 7� DATE �- / SIGNATOR Mech. L�iXL— SPECIAL APPROVALS DEPT. REQ'D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATEH". OFFICIAL Plan Check SEPA Mobile Home Other (Specify) 1700 TOTA L $ ?3a— PERMIT NUMBER -M--7q 31 DATE Q Cl �. 793.0 11-1r-?? 647 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED 1. 5• 3W-7 O LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. I OWNER PHONE 3 ' ADDRESS ZIP Required Set Backs in Feet S - 300-7 -G 7p W6 North South East West CONTRACTOR PHONE Size of Parcel Zone Classification 4. ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No. Baths No. Floors No. Rooms Rec. Room TYPE I{i Ew ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE. 7, OF 1El OTHER Req'd. Recd. Not Req'd WORK ❑ BLD. ❑ PLMB. 1=YMECH: ❑ M.H. ❑POOL CERTIFICATE of EXEMPTION DESCRIBE WORIJ FEES COLLECTED 8. WOOD VALUATION Source GAS ELECTRIC WATER SEWER of 9.Utilities Single $ 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 Building 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 al law regulating construction or the performance of construction. 00 Plumbing ' 7� DATE �- / SIGNATOR Mech. L�iXL— SPECIAL APPROVALS DEPT. REQ'D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATEH". OFFICIAL Plan Check SEPA Mobile Home Other (Specify) 1700 TOTA L $ ?3a— PERMIT NUMBER -M--7q 31 DATE Q Cl �. 793.0 11-1r-?? 647 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT.