1985, 11-06 Permit: 00008556 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
1.
JOB ADDRESS
(o 0 7 rl/e�l�-t '�} $P*(b4-Vt-(
SUBDIVISION
LOT
2q—(O
OWNER, -
3. �Sig ( ji4-ry
ADDRESS
-7'o7 &€tL
CONTRACTOR /CO—
/ A �
4. I t- C -c ti
ADDRESS
170. T 774
BLOCK
6
it
LEGAL DESCRIPTION — SEE ATTACHED
DESIGNER
5. ADDRESS
RHONE Wei()
ZIP
`t24Z
PARCEL NUMBER/S
j 4c;Lf
0
Actual Set Backs in Feet
North 'South
East
'West
PHONE
Size of Parcel
/ Oa?)
PHONE
Type Const.
Valuation
Occupancy
Zone Classification
4s
Sprinklered
❑Yes ❑No ❑ 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
❑ NEW
❑ BLD.
ECALT. ❑ AD'N. ❑ RPL.
❑ PLMB. KMECH. ❑ M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESC I E WORK
8. Di'U P 57V 7 6K( c--27 mac- U1iit tiro-`
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF
9. UTILITIES
Enum. Dist.
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. SEEREVERSESIDE FOR REQUIRED INSPECT NS
��?
DATE OF APPLICATION LSIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
♦.SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
PERMIT NO. TOTAL
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
JOB ADDRESS:
OWNER:
ADDRESS:
CITY: ST: ZIP:
APPLICANT:
CONTRACTOR:
ADDRESS:
CITY: ST: ZIP:
PH: LICENSE*:
F
ARCH/ENGINEER:
ADDRESS:
CITY: ST: ZIP:
PARCEL*:
CENSUS TR:
INSPECTOR:
PLAT*:
LOT & BLOCK
FINAL
PLAT NAME:
ZONE*: IZONE
FSB
S - 1
S - 2
RSB
MOD
USE OF PERMIT:
JOB ADDRESS:
MECHAN:I:CAL. PERMIT
SEC. #:
DATE:
PROD*:
FEES:
PAID BY:
CA
CK
CG
NC
COUNTER APP:
PLANS EXAM:
DATE:
I -i ,NIt: X L.(� ( TOTAL FEE
:;i:'6...: Dry 0 Range0 Gas Log 0 Gas W/I•I 0 Solid Fcaa:I. 01 Frac
FUEL EI SOURCE: Electric •N Cas N Oa.]. N Coral N Wood Y Solar N
DISTRIBUTION: Forced Air N Radiant Y Heat Pump N
Pror.:cass:ing Fee
. V ,
10,00
10.00
INSPECTOR'S COPY
i'l
Ci
1 SET BACKS
m
C
r-
0 0
z
C)
2 FTGS & FORMS
3 STEEL
4 PROGRESS
5 BOND BEAMS
6 ROOF DECK
7 FRAMING
8 INSULATION
9 SPECIAL INSP.
10 ASSEMBLY
11 FIREPLACE
12 EXTERIOR FINISH
13 DRYWALL
14 EXT. GRADING
15 FINAL
16 GRD. PLBG.
PLUMBING
17 WATER PIPING
18 DINV TEST
19 FIXTURES
20 SEWAGE DISP.
21 WER
22 SATER HEATER
23 PROGRESS
24 WATER SERVICE
25 ROOF DRAINS
26 FINAL
38 VENTILATION SYS,
MECHANICAL
39 PLENUM & DUCT
40 GAS TEST
41 FURNACE
42 DAMPERS
43 INLET/OUTLET
44 COMPBUSTION AIR
45 COMPRESSOR
46 APPLIANCE
47 FIRE DAMPERf
48 SMOKE DETECTOR
49 HOODS
50 PROGRESS
Ji
/VA
51 FINAL
52 FINAL INSP.
OCCUP / SPECIAL
53 FIRE PREVENT.
54 OCCUPANCY/TEMP.
55 REQUESTED
56 OCCUPANCY/FINAL
57 OCCUPANCY/OTHER
58 COMPLAINT/ZONE
59 COMPLAINT/BLDG.
60 COMPLAINT/OTHER
COMMENTS: