1979, 10-18 Permit: M79-6307 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 4 COPIES
�J7O�B ADDRESS
1. ///T'
BLO K
LEGAL DESCRIPTION — SEE ATTACHED
BD! ISION
2.
O R
3.ig —„t/.ad_/
AD RESS
PARCEL NUMBER/S
PHONE
/9 ,,,aQ
42.0- .a-
CONTRA TOR r
L��� ti -LGA/ CL -162.-
ADDRESS
DESIGNER
5' ADDRESS
ZI P
Required Set Backs in Feet
North 'South
PHONE
ZIP
CHANGE OF USE FROM
6.
TO
PHONE
ZI P
7.
TYPE
OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
O MECH:
❑ RPL.
O M.H.
❑ MVE.
0 POOL
0 OTHER
Size of Parcel
Type Const.
[East (West
Zone Classification
Occupancy
Valuation
DWL Area I Basement Area
Split Entry
No. Baths
Sprinklered
❑Yes No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Split Level
Storage
Rancher
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd. 1 Rec'd. Not Req'd.
8. 1:
OR1'��'���_—�
VALUATIONSour GAS ELECTR C WATER
of
9. Utilities
SEWER
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 regulatinrconstruction or the
performance of construction.
DATE / 1$l` 79 SIGNATURE s.� 41111.,2'1'
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL ' ONDITIONS:
DATVI'/5'77OFFICIAI�% p p
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 7
PERMIT NUMBER
7q-6361
DATE id %g"77c/
04* *7.00
*7.00 N
*7,006
E *000 8
630,62
10-18-79
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1.0-.18-'79
6'30.72 '*7.D0°1-2