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1979, 11-02 Permit: 79-7171 WoodstovePLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DESCRIBF WORK 8 HFEES COLLECTED VALUATION Source GAS ELECTRIC WATER SEWER of 9. Utilities 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 Plumbing performance of construction. �,/ DATE 44 SIGNATURE_ U 61, O �' p0 c Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning Fire Marshall Mobile Home Co. Engineer Other (Specify)--- Utilities Specify) - Utilities Zone Clearance SEPA Checklist PER T NUMBER M X171 DATE *7,0C B * Q, {� 717.1 10-02-79 �i 6479, TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS B`ECOnMES A PERMIT. *7.niioL APPLICANT: COMPLETE NUMBERED SPACE; — PRESS HARD TO MAKE 4 COPIES JOB ADDRESS 1. 1419 50, �, LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. I OWNER -D5 NONE , 3. K16df-V 14N ADDR S IP Required Set Backs in Feet North South East West CONTR C OR PHONE Size of Parcel Zone Classification 4' ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. I DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. TYPE NEW El ALT. ElAD'N. 1:1 RPL'. ElMVE. No. Baths No. Floors No. Rooms Rec. Room 7, OF E) BLD. 1:1PLMB. R1**MECH: ElM.H. ElOTHER 1:1 POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION DESCRIBF WORK 8 HFEES COLLECTED VALUATION Source GAS ELECTRIC WATER SEWER of 9. Utilities 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 Plumbing performance of construction. �,/ DATE 44 SIGNATURE_ U 61, O �' p0 c Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning Fire Marshall Mobile Home Co. Engineer Other (Specify)--- Utilities Specify) - Utilities Zone Clearance SEPA Checklist PER T NUMBER M X171 DATE *7,0C B * Q, {� 717.1 10-02-79 �i 6479, TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS B`ECOnMES A PERMIT. *7.niioL