1982, 08-25 Permit: 82A-7473 Wood StovePLAN 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 ADDRF.$S�
% 1 >U
LOT BLOCK
SUBDIVISIOI1J
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
OWNER:
3. 1\v C' IN Z I 0
ADDRESS L
CONT,R�iC
4. ADDRESS
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
ZIP
PHONE
ZIP
Actual Set Backs in Feet
North
South Eas
Size of Parcel
Type Const.
Occupancy
Valuation
Main Floor
West
Zone Classification
Sprinklered
Dyes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Upper Floors Garage Area
TO
Area of Decks
Finished Basement
Storage
Unfin. Basement
LJ NEW ❑ ALT. ❑,%AD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. E MECH. ❑ M.H. ❑ POOL
❑ OTHER
DESCRIBE WORK
8. \ O ca vii
9.
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
No. Baths
No. Stories
No. Rooms
CERTIFICATE
of EXEMPTION
Enum. Dist.
No. of Dwellings
Req'd Rec'd.
Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
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 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
DATE OF APPLICATION 0`" — 1016 .2-- SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examine
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Req'd.
FEES COLLECTED
Single
Building
Plumbing
Mech. 2.-6)
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
�1
PERMIT NUMBER
e ' = 1 -747.;
04* *2000
*20.006
A *000 8
747.28
08-25-82
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'8 !25 8`2 747.35 *2O.00 a1-2
DATE ISSUED PERMIT NO. TOTAL