1980, 10-06 Permit: 80B-1490 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 DDRESS
- 17(02-3 aoo I'l
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3
OWN EI21:5,
ADrESS
I.IfJbsA-�
76;--150,as
CO) ,146
ADDRESS
PHON
915�FE-762
ZI/P_ ICP
PHONE
PARCEL
E
PARCEL NUMBER/S
ZIP
5.
DESIGNER
PHONE
ADDRESS
ZIP
Actual Set Backs in Feet
North 'SouthEast (West
Size of Parcel Zone Classification
Type Const. Occdpancy Sprinklered
❑Ves ❑No 0 Req'd.
Valuation Building Area in Sq. Ft.
Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
OF
WORK
E EW 0 ALT. Li A
N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. 2PS MECH. 0 M.H. ❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DES( ry IAB EVWO RK Cii%ri//� OV6a
8. W t�
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public El 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 construcn or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
l`
DATE OF APPLICATION/25 co-()
SPEW/XL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Tecric
SIGNATURE OF APPLICA
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 $
/17
PERMIT NUMBER
O4* *7.00
*700 N
*7.008
A *000 8
148.92.
10=06-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11f08t1 149.O5. 1*Z002F-
DATE ISSUED PERMIT NO. ' TOTAL