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1982, 04-01 Permit: 82A-2391 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY - BUILDING CODES DEPARTMENT ` 9�'�'-- .9--- `. , NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 v APPLICANT: COMPLETE NUMBERED SPACES - PRESS HAR TO MAKE 3 COPIES JOB ADDRESS -� L! 2 * * 2 0 0 0 1. LEGAL DESCRIPTION - SEE ATTACHED `"' C'; LrU LOT BLOCK SUBDIVISION s�� SLE PARCEL NUMBER/S ~ 2. d.5`-1- 1.001E5 2 3 >,9 OWNER PHONE 3. --i�t-1 L. TBc_EDF�C GT'i -261-S 0 4- 0 i - 2 ADDRESS ZIP Actual Set Backs in Feet /�/� 7 6.479. E - r-34(.4 ' L.L.e ,1. 1 QG1'14. North 'South East ' 'West CONTRACTOR PHONE Size of Parcel Zone Classification 4' ADDRESS ZIP Type Const. Occupancy Sprinklered E- GAr•vi. ❑Yes ❑No 0 Req'd. * 2 0 0 0 u� DESIGNER PHONE V ation tVC, Building Area in Sq. Ft. 2 3 9.0 17 5. 17C. 04- 01 '-82 ADDRESS ZIP Main Floor Upper Floors Garage Area Storage — - 6479 CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. TYPENo. Baths No. Stories No. Rooms No. of Dwellings V EW 0 ALT. ❑ N. 0 RPL. 0 MVE. 7. OF r ❑ OTHER - WORK BLD. 0 PLMB. I MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Regsd. of EXEMPTION DESCRIBE WORK Enum.Dist. ILocation (Area) 1 FEES COLLECTED 8. �s-cr)t._)E %.(.3/ wt f\.) I 2MLI I VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. 1 UTILLITIES .------- Public 0 Private (� I 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 + F----0.0(5 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.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing DATE OF APPLICATION y-/ g,..2- SIGNATURE OF APPLICANTy�f91� Mech. g.Q-©e.-) SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health SEPA 2 Planning O G3 Fire Marshall Mobile Home w Co. Engineer Other (Specify) Utilities �) TOTAL $ 40.0 Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. it ing T chnicianPERMIT IS NONTRANSFERABLE 0.4 '�, -8 -2'' 2 ,3 9.1 z *.4 a 0 0 d.F. - A,c-9777dPERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL