1983, 09-20 Permit: 83A-9258 Wood StovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1.
North 1206 Bowman
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
OWNERCheri Collier
3
P' —8119
MAILING ADDRESS
North 1206 Bowman
CONTRACTOR
`Same
4. ADDRESS
LICENSE EXPIRES
•
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
PHONE
ZIP
99212
PHONE
ZIP
PHONE
ZIP
TO
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF
WORK ❑ BLD. E PLMB. E MECH. ❑ M.H. El POOL ❑OTHER
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North 'South
East I West
Size of Parcel
Zone Classification
Type Const. Occupancy
Residential ❑
Commercial ❑
Sprinklered
❑Yes ❑No ❑ Req 'd.
New Const. Valuation Remodeled Valuation
Main Floor
Upper Floors
Cover Deck
No. Baths
Uncv. Deck
No. Floors
Total Bldg. Floor Area
Garage/Storage
Certifi. of Exempt.
or Variance
Fin. Basement
Greenhouse
Unfin. Basement
No. Dwellings
No. Fin. Rooms
Required Yes❑ No❑ Number
Received Yes❑ Nc❑
DESCRIBE WORK
8. Installation of woodstove
VALUATION
9.
SOURCE
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC ❑
SEWER ❑
Shorelines/Flood Hazard
YesE Not Applic. ❑
Ownership
Public 0 Private ❑
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 au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE E FOR R IRED INSPECTIONS
SIGNATURE OF , % APPLICATION /
OWNER OR AGENT _!�" DATE 7" u 6
`S
SPECIAL APPROVKLS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Required ❑
Received ❑
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Horne
Other (Specify)
20.00
20.00
TOTAL $
PERMIT NUMBER
&AN, - 6
ft
4* *20,00
*20.00'6
*0,0 0
925,7
09-20-83
g 6479.
FILE COPY
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09-20-85 925,82 *20,00°i
DATE ISSUED PERMIT NO. TOTAL