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1980, 06-27 Permit: 80-6452 Wood Stove
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT /1 55 '6' Z NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 0 4 * * 7. 0 0 JOB1. " 1RE LEGAL DESCRIPTION — SEE ATTACHED * 7.0 0 LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 7, Q Q cYr 2 OWNER PHONE * ry B * 0, 0 0 3 3. IA9 1i �'�''.IAL'� 6` 3 _ 644. 72 ADDDRESS /j� �T ZZIP( / Actual Set Backs in Feet • 13 7�'�T ✓ �`•,� North 'SouthEast (West 0 6—2 7—8 0 CONTR C R PHONE Size of Parcel Zone Classification 1r cad G4 - ,� . - 1571- - 6,479. 4. AD ESS 2 M01.,4<z, , I I�/� 259...2_3 Type Const. Occupancy Sprinklered c 1 J I fV V fes'✓- , ❑Yes ❑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. TYPE �// No.Baths No. Stories No. Rooms No. of Dwellings fa NEW ❑ ALT. ❑ D'N. 0 RPL. 0 MVE. 7. OF 0 OTHER WORK 0 BLD. 0 PLMB. VMECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DELS¢ WOR• T Enum.Dist. Location rea) 8c'©IO FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. UTILITIES Public 0 Private 0 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 type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building 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 �(' 7� C� DATE OF APPLICATION G -�7 V a SIGNATURE OF APPLICANT Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE GdN-/• L-k., CeA 1.e9Plan Check Env. Health >- SEPA aD Planning v - w Fire Marshall Mobile Home -I Co. Engineer Other(Specify) Utilities _ /_ el 0 TOTAL $ p Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. uildingTec n r PERMIT IS NONTRANSFERABLE •0 6-2 *7 -8 0 6 4.5.2 * 7. 0 0 2.-IL.' —/ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL