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HomeMy WebLinkAbout1980, 09-23 Permit: 80B-673 Insert PLAN NUMBER APPLICATION/PERMIT �,t PERMIT NUMBER SPOKANE COUNTY - BUILDING CODES DEPARTMENT ' j g© �� NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-367573 DATE 919/80 e// J APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 04 * *7.00 JOB ADDRESS 1 N. 4221 Veroler LEGALAESCRIPTION — SEE ATTACHED *7. 0 0 N LOT BLOCK SUBDIVISION PARCEL NUMBER/S *7, Q Q 2. OWNER PHONE A * 0 0 0 8 George Hogue 924-8465 3 ADDRESS ZIP Required Set Backs in Feet b 7. N. 4221 Veroler North 'SouthEast West 0 9-2 3-8 0 CONTRACTOR PHONE Size of Parcel Zone Classification Valley Fireplace, Inc. 922-2780 z 6,4 7 9. 4' ADDRESS ZIP Type Const. Occupancy Sprin(klered E. 16610 Sprague Ave. 99037 ❑Yes ❑No ❑ Req'd. DESIGNER veradalea �'1�A. PHONE Valuation Building Area in Sq. Ft. 5 C:nntraotor Specialty ADDRESS No. VA LL EF S26 O1t4N ZIP DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No. Baths No. Floors No. Rooms Rec. Room TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF al OTHER CERTIFICATE Req'd. Recd. Not Req'd. WORK 0 BLD. 0 PLMB. ❑ MECH: ❑ M.H. ❑ POOL of EXEMPTION DESCRIBE WORK FEES COLLECTED 8. Install a C-201 "Earth Stove" Insert VALUATION Source GAS ELECTRIC WATER SEWER of 9. Utilities 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 lo I law regul.ting y uction or the,' performance of construction. 4, ` Plumbing Aliari DATE SIGNATURE "00/46 i�,/i Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env.Healthcc Ready for inspection SEPA o I— Planning U W '- 0_ Mobile Home 0 Fire Marshall — Co. Engineer Other (Specify) Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. * 7. kir ° DATE OFFICIAL ,j 9~ 2.'3 7.3 '_ �'. �' APPROVED FOR ISSUANCE -