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1982, 11-15 Permit: 82B-0939 WoodstovePLAN 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 1. 5 , IZV7 Zi:eUCs LEGAL DESCRIPTION -SEE ATTACHED LOT I BLOCK ISUBDIVISION I PARCEL NUMBER/S OWNER PHONE 1r\)ANN 4R 3=4_ 3.-So"kI) ADDRESS ZIP Actual Set Backs in Feet Cj': Z,o t� �% � /�"t North South East West CONTRACTOR PHONE Size of Parcel Zone Classification 4' ADDRESS ZIP Type Const. Occupancy Sprinklered -G{}MC I ❑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 Dwelling TYPE NEW ❑ ALT. ❑ D'N. 1:1 RPL. ElMVE. %, OF 101 OTHER 1:1 BLD. ❑ PLMB. NJ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd WORK of EXEMPTION I DESCRIBE WORK 8 VJ �D�u a" i tuC, •�Td il Enum. Dist. Location (Area) FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF I UTILITVES I Public C3 Private Cl$. 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 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 INSPEC ONS Plumbing II �l �'�'" DATE OF APPLICATIA Lel SIGNATURE OF APPLICAN _ Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE v. Health riannmg Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist PW�iIdin�, Technic _ PERMIT IS NONTRANSFERABLE Plan Check SEPA Mobile Home Other (Specify)e� , TOTAL $ - IPERMIT NUMBER 82 -ag7f WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1`1 5'-8�2 9 3 9 z *20.000F' -