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1983, 05-02 Permit: 83A-3530 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY —1BUILbING CODES DEPARTMENT - 53 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB AI 1' �, -� 1, ': _s /+ 1 LEGAL DESCRIPTION - SEE ATTACHED 1 LOT =L• K SUBD •I ON 1'� T, PARCEL NUMBER/S 2. OWN R ��� . i gwYJt E zi T.T • Au•R ria. ZIP Actual Set Backs in Feet '.'.._:: I. ` ly w gm , 1 North (South East (West CONTRACTOR • P ONE Size of Parcel Zone Classification * 2 0.0 0 U •i(cor � QF . II R 4. A DR SS - j Type Const. Occupancy Sprinklered * J � Dyes ❑No D Req'd. 3 5 L.9 z DESIGNER PHONE Valuation Building Area in Sq. Ft. 0 5- L 2�8 3 5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -7 9 CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. TYPE �/ No. Baths No. Stories No. Rooms No. of Dwellings 19."--- Q NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE. 7. OF �^ ❑ OTHER WORK a BLD. 0 PLMB. �7 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION DESCRIBE WORI1MFKcc �� Enum.Dist. Location (Area) 8. 4 1 Ac A�� l Wcc J i FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. UTILITIES Public 0 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 type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building 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 p Plumbing DATE OF APPLICATION 4 ( ._9t (4<#3 SIGNATURE OF APPLICANT,. - veg. i . I_',5jai.! 5 , Mech. ...7.--.100 SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health >- SEPA ,-_ i Planning u - to Mobile Home Fire Marshall ,, Co. Engineer Other(Specify) Utilities TOTAL $ �Q e Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. PERMIT IS NONTRANSFERABLE 5l 2 -$ 3 3 53 0 5 *2 0. 0'0 a F — ED C PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL