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1983, 09-29 Permit: 83A-9729 Wood Stove
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY &3A riz9 /. NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675 (L. APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. 1. 4 13323 —1 LOT BLOCK SUBDIVISION .LEGAL DESCRIPTION: 2. OWNS` PHONE PHONE 3. SAINA GulAR%sc.c� QZ,1-535LQ MAILING ADDRESS ZIP Actual Set Backs in Feet to: I•5-5Z 3 —Tit— North I South East I West CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential EIV C w AAS Commercial❑ 4. ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Fioor Area J. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement 6. No.Batas No.Floors No.Fin.Rooms No.Dwellings • TYPE S.,‘w CI ALT. 0 A ' . 0 RPL. 0 MVE. 7. OF ❑ OTHER WORK ❑ BLD. ❑ PLMB. ECH. ❑ M.H. CIPOOL Certifi.of Exempt. Required YesEl No❑ Number or Variance Received Yes No El DESCRIBE WORK Shorelines/Flood Hazard Plans Required El8. U.)OCD s vs ©a Yes El Not Applic.El Received CI VALUATION SOURCE AS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED 9. PUBLIC OF CI SEPTIC CIPublic❑Private UTILITIES PRIVATE CI SEWER❑ 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 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 cancele prove,=ions of any other state or local law regulating construction or the performance of construction.SEE REA17—E Si'E FOR �EOUI-, _'INSPE TIONS Plumbing SIGNATURE OF p1 irr ti lyi APPLICATION Go OWNER OR AGENT // — DATE / Mech. 2.Q— SPECIAL APPRO/ ,LS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. Fl 'AL DATE Plan Check Env.Health SEPA Planning Modular/ MFG.Home Fire a.. Prevent. O Engineer Other(Specify) W Utilities TOTAL $ 20 _ SEPA PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, Plans THIS BECOMES A PERMIT. Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building in+n9 d ' Qf IN 180 DAYS 952a 9 -g 3 La 2�9 z * 2 0. 0 0 AL `,�"J� Z DATE UE PERMIT