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1979, 10-19 Permit: 79-6408 Wood StovePLAN NUMBER APPLICATION/ PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD Te MAKE 4 COPIES JOB ADDRESS �. LEGAL DESCRIPTION - SEE ATTACHED 11011 E. z.8 LOT I BLOCK SUBDIVISION PARCEL NUMBER/S OWNER 3, J6 W4 L� ADDRESS li©Ij E. CONTRACTOR 4. 1A M� ADDRESS DESIGNER 5. ADDRESS CHANGE OF USE FROM ITO 6. PHONE IZ,f- ZIP E ZIP PHONE ZIP equired Set Backs in Feet Orth South East West ize of Parcel Zone Classification Type Const. I Occupancy Sprinklered Dyes ❑No ❑ Req'd. aluation Building Area in Sq. Ft. DWL Area Basement Area Garage Area Storage Split Entry Split Level Rancher No. Baths No. Floors No. Rooms I Rec. Room PERMIT NUMBER DATE A - 8 ^79 04* *7,00 *7.00 *7,0016 0, c, 640,7 10-19-79 2 6479. TYPE 91/EW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF—/ ElOTHER El BLD. 1:1E PLMB. MECH: ElM.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION DESCRIBE WORK FEES COLLECTED 8 W VALUATION Source GAS ELECTRIC WATER SEWER p 9, *,S"QO of of 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 granti f a permit es not presume to give authority to violate or cancel the provisions of any other state or loca aw tin o struction or the performance of construction. Plumbing Zz SIGNAT DATE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: DEPT. REQ'D. RECD. Plan Check Env. Health SEPA Planning Mobile Home Fire Marshall Co. Engineer Other (Specify) Utilities �Z TOTAL $ Zone Clearance IN WHEN MACHINE VALIDATED SEPA Checklist THISBECOMES AP(E�RMIT. 1 I— '7 1 0� DATE OFFICIAL / / 7 APPROVED FOR ISSUANCE S SPACE,