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1980, 10-10 Permit: 80B-1778 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT ` �� � ° �� NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS c:, LEGAL DESCRIPTION — SEE ATTACHED a t! * * 7.0 0 LOT ' BLOCK SUBDIVISION PARCEL NUMBER/S ' u . C r 0 u' 2. 1 OW r PHONE 3. a � *74. Pe. - .4-14, cI 2 -?�``'` _. 1 ; - 1 0-8 0 ADDR S ZIP Actual Set Backs in Feet P r 6.1.7 9, o::? 7J tsy� G/ -'9AL l�r� i4.!pa- 7 a/fir" North 'South East West TRACTOR PHONE Size of Parcel Zone Classification 4. „,40 -f1' YZFf ADDRESS ZIP Type Const. Occupancy Sprinklered A sy ` Oyes ❑No ❑ 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. No. Baths No. Stories No. Rooms No. of Dwellings TYPE ❑ NEW D ALT. D AD'N. 0 RPL. 0 MVE. 7. OF 0 OTHER WORK 0 BLD. 0 PLMB. fkl MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION ESCRIBE WORK , Enum. Dist. I Location (Area) ' 8 y,. . � ,L .1414-4t1444 /f41 � � �� � I FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. UTI LLITIES 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 1 / GSD . DATE OF APPLICATION ie) — "`ev SIGNATURE OF APPLICANT __-„:1•.1,_ Aff. r_�...._ Mech. ✓ SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health SEPA Planning O C-.) Mobile Home W Fire Marshall ii Co. Engineer Other(Specify) yi Utilities /.l_d TOTAL $ �- Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Buidi g,Te nicia PERMIT IS NONTRANSFERABLE ,Q `'-a0 -.'8''0 1 7 7. 8 o *7. 0 0 a 12 4.il PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL