1980, 10-07 Permit: 80B1561 Woodburning StovePLAN NUMBER APPLIUATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
�r NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
DD. 3 00 -a � LEGAL DESCRIPTION —SEE ATTACHED
LOT I DIVISION PARCEL NUMBER /S
2.
OWNER PHONE
3. ?�/S'C/
ADDRESS L ZIP / Actual Set Backs in Feet
,!!7--. /8Oa'Z— 7 0C North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
J
4. ADDRESS 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.
No. Baths No. Stories No. Rooms No. of Dwelling
TYPE [NEW ❑ ALT. �❑/AD'N. ❑ RPL. ❑ MVE.
% WORK ❑ BLD. ❑ PLMB. CJ MECH. ❑ M. H. ❑ POOL El OTHER CERTIFICATE Req'd. Recd. Not Req'd
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8 I�JO�C3%��C� /I'�CVC. -Sioux FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF j'
9, UTILITIES Public ❑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 INSPECTIO / /,� Plumbing
r)ATF r1F APPI ICATIr1N /a ) / �0 SIGNATIIRF (7F APPI ICANT / " V2/-79r---7 Mech. 4f;�7,e'f 2'
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
iealth
Planning
Fire Marsmhall
Co. Engineer
Utilities
Plans Examiner
nician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTA L $ 7. oo
,O� IPERMIT NUMBER
sba � 1s61
WHEN MACHINE VALIDATED IN THIS
THIS BECOMES A PERMIT.
04* *7.00
*7.00
*7.000
A *000
15602
10 -07 -80
c 6.4 1
E,
1A 0 'fl 7 +'` 8v 1 � 6. I z 7.0.0 �
DATE ISSUED PERMIT NO. TOTAL
a.
CD
U
_ W
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