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1982, 01-14 Permit: 82A-276 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 LOT 2. E .$s1Co Nova SUBDIVISION BLOCK 4 LEG4L DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S OWNER 3. 1�EU1rJ W1e-14awazy ADDRESS . X351 (0 1\30P—Pa PHONE c 4-6\40 ZIP _ QC 1 �o Actual Set Backs in Feet North 'South (East (West • CONTRACTOR 4. ADDRESS C WlE PHONE Size of Parcel • - 1 Zone Classification ZIP ' Type Const. Occupancy Sprinklered Oyes ONo 0 Req'd. DESIGNER 5. ADDRESS PHONE Valuation • I 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 Unfln. Basement TYPE 7. OF WORK /NEW 0 ALT. 0 AD N. 0 RPL.' 0 MVE. ❑ BLD. 0 PLMB. krIMECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION R eq'd. Recd. Not Req'd. DESCRIBE WORK Enum. Dist. Location (Area) VALUATION 9. SOURCE GAS OF UTILITIES ELECTRIC WATER SEWER Ownership Public OPrivate 0 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 APPLICATIO SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building Technician 9,,c2 r O " SIGNATURE OF APPLICANT X 1.' LZ Q�+ CSR' SPECIAL CONDITIONS: • �( PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing/�j — Mech. ✓ 1 a.0 CID Plan Check SEPA Mobile Home Other (Specify) TOTAL $FLO• Od' PERMIT NUMBER S lA — 04* *2000 * 2000 N. * 20.006 A *0.00 'S .27.52 01-14-82 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. oit1I .� taitt7L8.2: DATE ISSUED 1. 21.62 *2.Q100aP.— PERMIT NO. TOTAL 0 0 U J