1979, 11-29 Permit: 79-8542 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 4 COPIES
JOB ADDRESS
IOLOT BMQS K6U1&LIFCUR CT.
2.
LEGAL DESCRIPTION - SEE ATTACHED
a O rEt ' TRL C A
ADDRESS
i 1oy15 l3ALfbuer GT
CONTRACTOR
CHIESMNEY SWIFT CO
ADDRS
�3So10t.
4.
oR
qzy-ssiz
Ec2%-I col 1
PARCEL NUMBER/S
112
49zo(o
Required Set Backs In Feet
North 'South
East
'West
PHONE
83S -251(o
Size of Parcel
Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ONo 0 Req'd.
5.
DESIGNER
PHONE
Valuation
Building Area In Sq. Ft.
ADDRESS
ZIP
DWL Area
Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
7 NEW
0 BLD.
0 ALT.
- 0 PLMB.
D AD N. 0 RPL. 0 MVE.
/MECH: 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. tn STAL.L..
VALUATION
9.
WOptkVS1terVJ6 ST E
11 Source I GAS STE,
of
Utilities
WATER
SEWER
I hereby certify that I have read and examined this applica ion and have read the "
on reverse side, and know the same to be true and correc . All provisions of laws
type of work will be complied with whether specified herein or not. The granting
to give authority to violate or cancel the provisions of any other • or local law
performance of co�sttruction.
DATE I L SIGNAT
NOTICE" provisions included
and ordinances governing this
of a permit does not presume
regulating construction or the
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECT • _ ONDITIONS:
DAT OFFICIA
PPROVED FOR ISSUA
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ I •
M
DATE
PERMIT NUMBER
19— B5y2-
04*
*7.00
*7.00
85412
111 -29,-79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. •
'129:177'9' 8'5
1!- 4 2 2 ' 7 0,0,2
'DATE
k
ECORD OF ikePE
REMARKS
T 6.
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41)244v;icyc
•
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•••(•
r' • i •
.4r 11.!: CV •
tfltt
e 1 5 Y g
Final Inspection
INSPECTED BY
(1.
1.1—S6—A6
905.1;',
i• f‘
r cl• 4 SO 0
04)