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1981, 07-13 Permit: 81A-6920 Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY - BUILDING CODES DEPARTMENT fri //i ic�a=-D eliNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 / APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 0/). * * 1 7, 0 0 1 \ •\ ` ` ,MNCA �� LEGAL DESCRIPTION — SEE ATTACHED 0 LOT BL CK SUBDIVISION PARCEL NUMBER/S * 1 7. C 2. * 1 r. 0[ . OWNER 3. \'Q` RQ��''�.% PHONES �,�`z\c\ A * C.G C Ci ADDRESS ZIP Actual Set Backs in Feet 6 9 1,Q �.�- \ `\:7V&,,,%\sm\ . -``yS;`w�–'�_ ��.,�� North (South East (West CONT ACTOR PHONE Size of Parcel Zone Classification 0 7— 1 3—8 ADDRESS �'� \ `` Q • � zip p --� Type Const. Occupancy Sprinklered ''>: O✓\ ‘ C%� C `A \--© ` ❑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 6. No.Baths No. Stories No. Rooms No. of Dwellings TYPE ❑ NEW ❑ ALT. ❑ N. ❑ RPL. ❑ MVE. 7. OF OTHER WORK ❑ BLD. ElPLMB. MECH. 1:1M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION DESCRIBE O\K ` Enum. Dist. Location (Area) 8�r� `\\\ � \`� .--�"��\ \�(�r I FEES COLLECTED VALUA I N SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. UTILITIES Public ❑Private 0 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 local law regulating construction or the performance of construction.-- SEE/ REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing DATE OF APPLICATION Yc::) `clz;\_ SIGNATURE OF APPLICAN Mech. / 7 SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health SEPA > Planning C) G� Fire Marshall Home 'u EL- Co. Engineer Other(Specify) Utilities TOTAL $ /7 Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. J Building Technician PERMIT IS NONTRANSFERABLE 692. 0g *17. 00d 1:1- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL