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1983, 02-14 Permit: 83A-1033 Stove,Chimney(PLAN NUMBER APPLICATION /PERMIT PERMITNUMBER �- SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY ? NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREETADDRESS PARCEL N0. �. 13706 :�%7.5�", 28th 2. LOT BLOCK SUBDIVISION LEGAL DESC IPTION: OWNER Davo ,Afford PHONE924-8697 PHONE MAILING ADDRESS 37065 �aS't 28th 1 Zip ti.j 936 Actual Set Backs in Feet to: North South East West CONTRACTOR , alley Fireplace LICIT, E61�)RES t 1� t5 =: PF{G , �N — a780 Size of Parcel Zone Classification Residential ❑ 4. Commercial ❑ ADDRESS 1656510 Sprague AVf . ZIP990;37 Type Const. Occupancy Spr❑Norte ❑Yes ❑Req'd. DESIGNER aradale, tiVa, PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area �J. ADDRESS I on tr , ' iC 0215 e VAL' �F-a , r zip,")9057 Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement 6. No. Baths No. Floors No. Fin. Rooms No. Dwellings YPE ❑NEW El ALT. El AD' N. El RPL. ❑ MVE. TOF % WORK El BLD. ElPLMB. ❑ MECH. ElM.H. F-1POOL❑OTHER Certifi. of Exempt. Required Yes El No[] Number v rO � `Dt) S o or Variance Received Yes No❑ DESCRIBE WORK t g. yh,'.r>ne�.T, hearth and back tivalls. Shorelines/Flood Hazard Pians Required ❑ � Yes Not Applic. ❑ Received ❑ VALUATION I SOOURCE GAS ELECTRIC PUBLIC LJSEPTIWATER C GE ElOwnership FEES COLLECTED 9• UTILITIES PRIVATE ElSEWER LJPublic ❑Private F1 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 to give au- thority 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 SIGNATURE OF APPLICATION/f/ VDATE "��' e� 11:;7 OWNER OR AGENT __Mech. - SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building % Tech. i141 SPECIAL CONDITIONS: (SEE , ERSE SIDE FOR NOTICE) PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Plan Check SEPA Modular/ MFG. Home Other (Specify) *2000 *2000' *0.00 0322 02-14-83 6.479. TOTAL $ " - WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 02-1'4`83 103,32 DATE ISSUED ai PERMIT NO. *2'0.00°[' - TOTAL CL C C LL LL