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1980, 01-09 Permit: 80A-9981 Wood StovePLAN NUMBER APPLICATION/ -PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 VALUATION Source GAS ELEC RIC WATER SEWER of 9. Utilities 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 Plumbing performance of construction. DATE SIGNATURE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Check DEPT. r REQ'D. REC'D. �A Env. Health X + SEPA Planning ; ,�'�.J \ �.1��.L,.�v V't Mobile Home Fire Marshall r\JCy U Other (Specify) Co. Engineer -f-i" W r PERMIT NUMBER DATE C4* *7.00 *7.00 *7.00 E *O,OC 998,02 01-09-80 2 6.479, Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. SEPA Checklist DATE i -_C-2aFFICIAL 16 u 1 APPROVED FOR ISSUANCE 0 1-0g-8 0,, 7 Z. 1 *7,00' ' APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED 1. LOT BLOC PARCEL NUMBER/S 2. ISFJBD]VrSION OWNER PHONE 3 ZIP Required Set Backs in Feet ADDRESS Cx North South East West CO TOR , PHONE Size of Parcel Zone Classification 4. ZIP Type Const. Occupancy Sprinklered ADORES 01) CI CA ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage CHANGE OF USE FROM TO Split Entry Split Level Rancher 6 No. Baths No. Floors No. Rooms Rec. Room TYPE E] NEW El ALT. ❑ AD'N. El RPL. ElMVE. 7, OF ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M. H. ❑ OTHER ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd. WORK of EXEMPTION DESCRIBE WORK I FEES COLLECTED 8. VALUATION Source GAS ELEC RIC WATER SEWER of 9. Utilities 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 Plumbing performance of construction. DATE SIGNATURE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: Plan Check DEPT. r REQ'D. REC'D. �A Env. Health X + SEPA Planning ; ,�'�.J \ �.1��.L,.�v V't Mobile Home Fire Marshall r\JCy U Other (Specify) Co. Engineer -f-i" W r PERMIT NUMBER DATE C4* *7.00 *7.00 *7.00 E *O,OC 998,02 01-09-80 2 6.479, Utilities TOTAL $ Zone Clearance WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. SEPA Checklist DATE i -_C-2aFFICIAL 16 u 1 APPROVED FOR ISSUANCE 0 1-0g-8 0,, 7 Z. 1 *7,00' '