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1980, 10-06 Permit: 80B-1452 Wood Stove
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT 7 f ell NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS1770 X' LEGAL DESCRIPTION - SEE ATTACHED 0 4 * * 7,00 . 1. • 170 LOT BLOCK SUBDIVISION JPARENUMBER/S 2. I?53—. - 9043 * 7,006 owNEF 3. 'PdN r' � "�` w�N-_ 75 E A * 0.00 ADDRESS 70p/ZIP� Actual Set Backs in Feet 1 4 5. 1 D v, 1 '1 x 70[ (9 North (SouthEast (West . CONTR(a T,p. PHONE Size of Parcel Zone Classification 1 0-0 6-8 0 4. 2 6.479. ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No 0 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. TYPENo. Baths No. Stories No. Rooms No. of Dwellings Ll� NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. 7, OF OTHER WORK 0 BLD. 0 PLMB. EV/MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DE CRIBE WORK Enum.Dist. Location (Area) ' 8 ©O G� G��/ I FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWERUSE CODE Ownership OF 9. UTILITIES Public ❑Private ❑ 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.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing lJ k-/1 �-Oa DATE OF APPLICATION SIGNATURE OF APPLICANT�c9r) -,,l/ Mech. SPECIAL APPROVAL SPECIAL CONDITIONS: r NAME DATE Plan Check Env. Health SEPA a Planning C7 r� Mobile Home W Fire Marshall —1 Er- Co. Co. Engineer Other (Specify) Utilities TOTAL $ Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. ling Tec anr PERMIT IS NONTRANSFERABLE 1'0 ` 0 6'-8 0' 14 5, 2'5. *7, 0 0 d PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL