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1979, 09-28 Permit: 79-4909 WoodstovePLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER �,t' SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 I DATE ,/_ 7 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO �IMAKE 4 COPIES 0 4 * * 7. 0 0 JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED * 7.0 0 1 `_ ,� 4�, 4 9 0 8;2 LOT BLOCK SU DIVISION, PARCEL NUMBER/S 2 o9-28-79 OWNER ' n PHONE 3. 6479. ADD ESS ZIP Required Set Backs in Feet , i*,-) ��51'/ 1 �d�/�- � j, � `i L% �3 �� North South East West CONT ACTOR PHONE Size of Parcel Zone Classification 4' ADDRESS ZIP Type Const. Occupancy Sprinklered J ❑Yes ❑No El 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 1:1 NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE. No. Baths No. Floors No. Rooms Rec. Room ], OF El❑OTHER BLD. ❑ PLMB.' MECH: ❑ M. H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. WORK of EXEMPTION I DESCRIBE WORK / i I FEES COLLECTED 8. i y a utG�4 c c a� ", VALUATION SourceGAS ELECTRIC WATER SEWER 9. of utilities o 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. Plumbing DATE 7 - ,�/ g— �Z SIGNATURE � '` -7. Mech. L SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning _ I Fire Marshall Mobile Home t t Co. Engineer Other (Specify) Utilities %1 TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist i THIS BECOMES A PERMIT. "--�- �'7 lY1 LL..: l �� �; I DATF; fY . A .�.. OFFI CIAI 1/L�.� �t�,i.i'%i