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1980, 11-24 Permit: M80B-4201 WoodstovePLAN NUMBER APPLICATION/ PERMIT !� 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 57-- Lr -GAL DESCRIPTION - SEE ATTACHED i nT -moi nry ci iQnlvlclnni on nrri nn �nnoroic OWNER PHONE 3. �� / ; ,/—,4 s 4��,p - ADDRESS ZIIP? Actual Set Backs in Feet —5 /_-roc? z(;?/ �ief�D/�GL— /�. ( 9� �� North South East West CONTRACTOR PHONE Size of Parcel Zone Classification 4. ADDRESS ZIP Type Const. Occupancy Sprinklered / I ❑Yes [-]No ❑ Req'd. LL- 'I <,`,®DSC DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor I I Upper Floors Garage Area I Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. No. Baths No. Stories No. Rooms No. of Dwellings TYPE y,�5 1:1 ALT. El AD'N. El RPL. ❑ MVE. ,L'3.NEW 7. OF ❑ OTHER ❑ BLD. ❑ PLMB. IX MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION I DESCRIBE WORK 8.,cf5�ic:Tia.0 .J`c r/�.aF �c`/? �<'c>r�v S r� ✓c Enum. Dist. Location (Area) FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. OF UTILITIES Public ❑ Private ❑ Single $ 1 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. S/E�/E REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing , nATC nC ADDI 1(`ATInrI �,/ yJ �t, clrNlATi IDC nC ADDI if AhIT 11�E//��q V"/ '- iYY.°'C� � .C/1✓'� ', Mech. SPECIAL APPROVALS NAME DATE nv. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SPECIAL CONDITIONS: Plan Check SEPA Mobile Home PERMIT NUMBER 04* *7.00 *7,00 to - 7, -i *70061 A *0.00 420,09 1.1 -25-80 z 6479. Other (Specify) 0J TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. n PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL 0 U LU J LLL