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1980, 09-26 Permit: M80B-933 Wood StovePLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER SPOKANE COUNTY - BUILDING CODES DEPARTMENT 9 33 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. (, 36 LEGAL DLSCRIPTION - SEE ATTACHED LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S OWNER 3. ADDRESS PHONE 12 �S ZIP <.d Actual Set Backs in Feet -/ fit' North South CONTRACTOR PHONE Size of Parcel Zone Classification 4' AD RESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. Baths No. Stories No. Rooms Np. of Dwellings TYPENo. ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF ❑ OTHER ElBLD. ElPLMB. ;9MECH. 1:1M.H. ElPOOL CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION I ESCRIBE WORK Enum. Dist. Location (Area) 8 — � - FEES COLLECTED VALUATION SOURCE G S ELECTRIC WATER SEWER Ownership CODE 9. UTILOITIES Public ❑Private ❑ FUSE 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 type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building to give authority 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 �y DATE OF APPLICATION _7 L _ SIGNATURE OF APPLICANT i-'Yl/3't. Mech. SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SPECIAL CONDITIONS: L Plan Check SEPA Mobile Home Other (Specify) TOTAL $ [; R *7.00 *7.00 *7.006' ri *0.00 8 93.22 09-26-80 2 6.479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. �n�gT7ec ician PERMIT IS NONTRANSFERABLE ��14&111 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSIIFD PERMIT Nn TnTAI