1979, 10-16 Permit: M79-6090 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
B ADDRESS
LOT BL CK O
;14 -
2.
LEGAL DESCRIPTION - SEE ATTACHED
OWN E41
3. ADDRESS
a�Y/ 7
CONTRACTOR
4.
ADD ESS
�i�L1�
DESIGNER
5 ADDRESS
PHONE
6Y -ZS —.ems 75'
ZIP
PARCEL NUMBER/S
Required Set Backs in Feet
North 'South
lEast
(West
PHONE
Size of Parcel
Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
q NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH:
O RPL.
O M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
_SCRIBE WO K
LL .-1 t)
VALUATION
9.
Source
of
Utilities
GAS EL CTRIC
WATER
SEWER
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.
DATE //)--./6 --7y SIGNATURE "2"
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. I loalth
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATBO & 7/ OFFICIAL,e1-1
APPROVED FOR ISSUANCE
FEES COLLECTED
Single S
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 7''
M
DATE 44 J4' 79
04* *7.00
*7.00
*7.006
E *0100 g
60892
10-16-79
B 6479.
PERMIT NUMBER
79-( 90
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10.-161-79 60.9.02
*7,00a1-2
DATE
RECORD OF INSPECTIONS
Final Inspection
REMARKS INSPECTED BY
JC -JP -ad
PO8dt
E +-00. o
*a00R
=100
Oct* •Soo