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1979, 12-10 Permit: 79-8902 Woodstove
I -AN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 PERMIT NUMBER M DATE 04* *7.00 X7.00 E G. 0 8901 9 12_-10-79 6479. VALUATION 9. APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 1. JOB ADDRESS l bl-�z RAlUe6ov LEGAL DESCRIPTION - SEE ATTACHED Single $ LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. I performance of construction.Plumbingj , , �nnl ,00 DATE �Z ' y ( / SIGNATURE Gplj "' � OWNER 1 7 1�J ��J � j{� PONE 3. 3. Env. Health SEPA ADI��i$' ES 0 -r ©0 �North ZIP Required Set Backs in Feet Co. Engineer Other (Specify) V •` Utilities South East West CONTRACT013 PHONE Size of Parcel Zone Classification 4. (�j/ j 7 ) 9 0, 2 � * /. 0 0, DATal DIAL ADDRESS ZIP Type Const. Occupancy Sprinklered I ❑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. TYPE VINEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. No. Baths No. Floors No. Rooms I Rec. Room 7, OF ❑ OTHER WORK ❑ BLD. ❑ PLMB. MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION 8 DESCf� ►LVI0 E WORK _ �0 _ I JCFs"{(' `v/Ir/ FEES COLLECTED PERMIT NUMBER M DATE 04* *7.00 X7.00 E G. 0 8901 9 12_-10-79 6479. VALUATION 9. Source of utilities GAS ELECTRIC WATER SEWER 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.Plumbingj , , �nnl ,00 DATE �Z ' y ( / SIGNATURE Gplj "' � Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning t � Fire Marshall Mobile Home i Co. Engineer Other (Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. �J ///D 12 -10 -.7.:9 j 7 ) 9 0, 2 � * /. 0 0, DATal DIAL