1980, 10-20 Permit: M80B-2260 Free Standing StovePLAN NUMBER
2
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
1. S. .2.2o1 Bo uni f S
LEGAL DESCRIPTION - SEE ATTACHED
LOT . BLOCK I SUBDIVISION
2. / / dt
OWNER
a 42Lilo to 0.nsen
A DRESS ,? II
S, .3. o% secY)cls'Sn
PARCEL NUMBER/5
PHONE
ya3-o�.Lale
ZIP
y9ao6
Actual Set Backs in Feet
North ISouth East 'West
CONTRACT
4. 'AD ESS
PHONE
Size of Parcel 1 Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered '
❑Yes :No ❑ Redid.
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
PHONE
Valuation )Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
TO �1-p
Free Sink-vAi'n Shoe.
6.r/lreeIay, e. q
TYPE NEW ❑ ALT. 0 AD N. 0 RPL. 0 MVE. ,,_,/
7, OF ,,�� // Irl OTHER
WORK 0 BLD. 0 PLMB. LB%ECH. 0 M.H. ¢n❑ POOLawl
'p[/J,/�+'J/��'tDESCRIBE WO
/ VALATIIf V
SOUR
OF
9. UTILITIES
GAS
LECTRIC
Area of Decks
Finished Basement
Unf In. Basement
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
Enum. Dist.
Location (Area)
TER
SEWER
Ownership
Public ❑ Private 0
USE CODE
I hereby certify that 1 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
vAPPLICANT
DATE OF APPLICATION /0—� a — D SIGNATURE OF --.(.�,f
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Planning
Fire Marshall .
Co. Engines
Plans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
•
FEES COLLECTED
Single $
Building -
Plumbing -.
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL $
PERMIT NUMBER
04* *7.00
*7.00
225.9A
10=20-8,0
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
b.lpiE"A201 8181 2.'2,6.01
DATE ISSUED PERMIT NO.
*7. 0 0,gr2
TOTAL