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1979, 11-02 Permit: 79-7216 Wood Stove
PLAN NUMBER APPLICATION/PERMIT ('' , PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT /' '14 - 'a Ce NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD I: ,VAKE 4 COPIES 0 4 * * 7. 0 0 1 JO 2.°13216 15tFL LEGAL DESCRIPTION — SEE ATTACHED * 7.0 0co LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 7. 0 0 c.•. 2 OWNER PHONE B * 0 0 0 U 3. Z©N tARFIE,L . at2(0-1c,�t9 7 21,5 2 ADDRESSC4Q Required Set Backs in Feet G 1 321 5 1.51-k 4 l2.1 Co North 'SouthEast (West 1 1 —0 2—7 9 CONTRACTOR PHONE Size of Parcel Zone Classification SAME 6479, 4' ADDRESS ZIP Type Const. Occupancy Sprinklered Oyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP DWL Area Basement Area Garage Area 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 ❑ OTHER WORK ❑ BLD. ElPLMB. kT-MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK 8. insTAI.L- WOOD 6U'QNIN)C. 51-0k1FEES COLLECTED VALUATION Source GAS ELECTRIC 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 f construction. Plumbing DATE SIGNATURE /l?Ae< Mech. SPECIAL APPROVALS SPEC L CONDITIONS: DEPT. REQ'D. REC'D. Plan Check Env. Health SEPA P Planning ca — w r_ Mobile Home Cl) Fire Marshall = Co. Engineer Other (Specify) Utilities00 TOTAL $ Zone Clearance �/��/ WHEN MACHINE VALIDATED IN THIS SPACE. 0 SEPA Checklist 7 �n�/�+',_�' {,44,A4A4/1", THIS11'- 0 ECOMES2 A 7ERMIT. 2 1.U z *7, 0 ° '- DATE ii- ` OFFICIAL �" U C 7 APPROVED FOR ISSUANCE —