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1983, 09-13 Permit: 83A-8989 WoodstovePLANNUMBER� APPLICATION/PERMIT SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. WORK LOT BLOCK SUBDIVISION DESCRIZ WORK 8• �j LEGAL DESCRIPTION: Plans Required ❑ �0 ��V 2. Received ❑ I I GAS ELECTRIC WATER PUBLIC ❑ SEWAGE SEPTIC ❑ Ownership OWNER_ �� 9 P ON PHONE PRIVATE 1-1 I SEWER11 3. 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 type of Building work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- MAI ING ADDRESSI� thority 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 ua t Backs n Feet to: Mach. OWNER OR AGENT DATE SPECIAL APPROVALS 1 13 "Z;21L� I� 4PHbNE PRELIM. FINAL DATE North South East West Env. Health CONTRACTOR LICENSE EXPIRES Size of Parcel Zone Classification Residential ❑ Commercial ❑ 4. ADDRESS ZIP TypeConst. Occupancy Sprinklered Dyes ONO ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area 5. ADDRESS ZIP Main Floor per Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unf in. Basement 6. No. Baths No. Floors No. Fin. Rooms No. Dwellings TYPE NEW El ALT. ❑ AWN. 11 RPL. El MVE. 7. OF ❑ BLD. ❑ PLMB. 01MECH. ❑ M.H. ❑ POOL ❑ OTHER Certifi.ofExempt. Required Yes❑ NOD Number WORK or Varianoe Received Yes❑ No❑ DESCRIZ WORK 8• �j Shorelines/Flood Hazard Plans Required ❑ �0 ��V yes NotApplic. ❑ Received ❑ VALUATION I SOURCE OF GAS ELECTRIC WATER PUBLIC ❑ SEWAGE SEPTIC ❑ Ownership FEES COLLECTED 9 UTILITIES PRIVATE 1-1 I SEWER11 public El Private ❑ 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 type of Building work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- thority 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 SIGNATURE OF APPLICATION Mach. OWNER OR AGENT DATE SPECIAL APPROVALS SPECIAL C DI NS: (SEE REVERSE SIDE FOR NOTICE) Plan Check PRELIM. FINAL DATE Env. Health SEPA Planning Engineer Utilities Plans PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED BuildingiN 180 DAYS 1 Tech. Modular/ MFG. Home Other (Specify) TOTAL $ 24�1 . I WHEN MACHINE VALIDATED IN THI THIS BECOMES A PERMIT. PERMIT NUMBER DATEIIZIJ 5 9 J PERMIA6. 8' c * !�' t' Q COITAL L