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1980, 10-28 Permit: 80B-2834 Wood Stove PLAN NUMBER `' i APPLICATION/PERMIT NUMBER �JER SPOKANE COUNTY — BUILDING CODES DEPARTMENT `-' ©PERMIT NN - ER -3¢ 0/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 04 * *7.00 JOB ADDRESS�� p (\•\ yr LEGAL DESCRIPTION — SEE ATTACHED * 7.0 0 LOT BLOCK SUBDIVISION Ip �1 / / PARCEL NUMBER/S 2. s- _ ate, Al eUffi(.,n *7,0 0 6 OWN_ PHONE A *O,O0 8 3. `. o•�c-" c.-, S1-1J C',-1 5.2.k-,p)221 ADD ESS y� ZIP c / Actual Set Backs in Feet 2 8 3 3 2 ' . I 2. S g-`l I.{.70 SPI"\ --) !�C! .7 North 'South East (West CONTRACTOR V PHONE Size of Pa ceel` 3 Zone Classification 1 0—2 8—8 0 4. S 14 Ai. `SI- ! y 0 1‘-- g 611.79. ADDRESS ZIP T�y�.p}e.Cor46t. Occupancy rinklered i1 4V R — 3 ❑Yes o ❑ 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. , TYPE No. Baths No. Stories No. Rooms No. of Dwellings NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. (� 7 WORK - ❑ BLD. ❑ PLMB. VMECH. 0 M.H. ❑ POOL Q OTHER CERTIFICATE Req'd. Recd. Not Req'd. l--5, j// /,v'c�:a S v\ of EXEMPTION 8 DESCRJBOE WO�tK _�� Enum. Dist. I Location (Area) r ``YY..��III VC KFEES COLLECTED I 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 Plumbing DATE OF APPLICATION 16—-211.-' SIGNATURE OF APPLICANT -/ Mech. 7. Lw SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health 4' >,- SEPA SEPA Planning CD v - w Fire Marshall Mobile Home -i W Co. Engineer Other (Specify) Utilities TOTAL $ Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A"�PERMIT. ^Bui ch ician PERMIT IS NONTRANSFERABLE �1.9'�i2 8 v''0' 2 8 3.4°g *7.'0 0'a F-1 - PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL