1981, 11-23 Permit: 81B-2069 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 ADDRESS
s. 1607 Blake Road
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOC!
SUBDIVISION
3.
OWNER
Jeanne Wremcher
PHONE
PARCEL NUMBER/S
This side is not required to be
filed out. N/A
ADDRESS
S. 1607 Blake Road
NTRA Tope\ _. L,,
4. r o,1ci.1\1 S \kQ.]\_ \k l c.„'-V%Q
ADDRESS
. 4- \1..t ty,n
DESIGNER
5. ADDRESS
ZIP
PHON
216
Actual Set Backs In Feet
North !South 'East 'West
Size of Parcel
Zone Classification
H E
Type Const.
Valuation
Occupancy
Sprinklered
Oyes ❑No 0 Req'd.
Building Area In Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
CJ NEW 0 ALT. 0 AD'N. ❑ RPL. 0 MVE.
0 BLD. ❑ PLMB. MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. l (7r5DS;v -
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWE R
Ownership
Public 0 Private 0
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 • nk��1 SIGNATURE OF APPLICANT
Nao_.)
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
•
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bu n Technician
76'
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. 17.00
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL $ .IX,
7r(
PERMIT NUMBER
2-0(:Dei
04* *17.00
*17:00 N
*17.006'
A *0'00
20682.
11-23-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1-13'L-811 206.98 *17.0,0a1-2
DATE ISSUED PERMIT NO. TOTAL