1982, 10-25 Permit: 82B-0054 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
LOT
ire
BLOCK
SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
3.
OWNER
PHONE
PARCEL NUMBER/S
ADDRESS -7
ZI P
CONTRACTOR
4.
PHONE
Actual Set Backs in Feet
North (South LEast (West
Size of Parcel
Zone Classification
ADDRESS
DESIGNER
5.
ADDRESS
ZIP
PHONE
Type Const.
Occupancy Sprinklered
DYes ❑No ❑ Req'd.
Valuation 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. Basemen
TYPE
7. OF
WORK
ZNEW ❑ ALT.
(BLD. ❑ PLMB.
❑ AD'N.
❑ RPL.
MECH. ❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. LU..JG'Cs 'r ,.!c.f2JV t t `«�io..A•4 V111.14,,c5' R--/ C -IJn i onA3+r,S/
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF
9. UTILITIES
Enum. Dist. I Location (Area)
Ownership
Public ❑ 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
SPECIAL APPROVAL
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
BuildingngTechnic an
Se
mac7 C7i1 9
SIGNATURE OF APPLICANT
SECIAL CONDITIONS:
141.6
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building .C2.crt5
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$4-0.t
PERMIT NUMBER
07-43 c9e,541-
02*
04*
*2000
*20.00
*40,00 tri
532
10-25-82
z X479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10-25-82
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
5:4Z
PERMIT NO.
*40.0Oa°I--
TOTAL