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1980, 01-11 Permit: 80-0103 Wood Stove
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 60 SPOKANE COUNTY — BUILDING CODES DEPARTMENT M ' on i 03— NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES U 4 * * 7.0 0 11,_�. JOB ADDRESS * 7.0 0 0, 1. O 1' C. (6 LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBD VISION PARCEL NUMBER/S * 7.0 C)1 2. E * 000 OWNER LII PHONE 3. W nr rr"r S c /ILc)a I n (iCc)a93-y8�)7_ 1 0.2 ADDRESS X 9 ZIP Required Set Backs in Feet 1 — 1 —V 1 �' North South East West CONTRACTOR PHONE Size of Parcel Zone Classification 6 4 7 9, 4. C©nt€»lporQry Hors I. 5 0(,)273-VS a9_ S/ �R ADDRESS Pt a L )• is b / Mt ZIP 99.13 ❑ Type Const. Occupancy Sprinklered Oyes No ❑ Req'd. DESIGNER ) PHONE Valuation Building Area in Sq. Ft. rJ. ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6. No. Baths No. Floors No. Rooms Rec. Room TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF MOTHER WORK ❑ BLD. ❑ PLMB. eMECH: ❑ M.H. IliPOOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE. WORK 8 n5! Q Woo S7'OUrC In 3a/4r FEES COLLECTED VALUATION Source GAS LECTRIC WATER SEWER of 9. Utilities 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. Plumbing DATE / g/ g L'? SIGNATURE i4:L y,__41 A) /\() -Zti`, Silid Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env. Health SEPA Planning 1 Fire Marshall Mobile Home Z Co. Engineer Other (Specify) Utilities 7, 00 TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist r r THIS(g gcnyi, )2 MIT. • DATE11/786) OFFICI• �stU � '— .L � 1 �� Z * �. 0H APPR'. ED -i• ISSUANCE