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1980, 11-20 Permit: 80B-4032 Wood Stove
PLAN 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 LEGAL ©'ASCRIPTION — SEE ATTACHED LOT BLOCK IbUBDIVISION IPARCEL NUMBER/ -q OWNER -,7 PH NE/ �ca% 3. AD A:DR S IAC �C! C // /..v- &/�� ZIP �� Actual Set Backs in Feet North South East West CONTRACTOR PH"ON�E Size of Parcel Zone Classification 4. DDRESS !� ZIP Type Const. Occupancy Sprinklered /-2e'7 ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor I Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. TYPEEl ❑ NEW ❑ALT. ❑ AD'JV. ❑ RPL. ❑ MVE. No. Baths No. Stories No. Rooms No. of Dwellinc 7, OF [�•�/ WORK 1-1 BLD. ElPLMB. MECH. 1-1M.H. El❑OTHER POOL CERTIFICATE Req'd. Recd. Not Re of EXEMPTION DE IBE WORK Enum. Dist. Location (Area) FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. UTILOITIES I Public El 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 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 DATE OF APPLICATION SIGNATURE OF APPLICANT r` ® �-j O� Mech. NAME DATE Planning Fire Marshall Co. Engineer Utilities Plans Examiner ng TechnicianI PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) r TOTAL $ :Z' PERMIT NUMBER YoJ3- 41o32. fid* *700 760 *70 n y� !t 0 71 1 ? -20-80 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 40,'122 DATE ISSUED PERMIT NO. *700a°Fj TOTAL