1980, 08-21 Permit: 80-8907 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
1.
2.
3.
4.
JOB ADDRESS
DV 24.'i5
EGG 4
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
SUBDIVISION
OWNER
De -686X T
ScFe J.Z.
ADDRESS
,v' Z'//5
CONTRACTOR
me
PHONE
9023,/3
ZIP
ggZO
PHONE
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South
East
'West
Size of Parcel 1 Zone Classification
ADDRESS
5.
DESIGNER
ADDRESS
ZIP
PHONE
ZI P
Type Const.
Occupancy
Sprinklered
Dyes ❑No ❑ 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
7.
TYPE
OF
WORK
Yr NEW ❑ ALT.
❑ BLD. D PLMB.
❑ AD'N. ❑ RPL. ❑ MVE.
("MECH. ❑ M.H. D POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Grl.0t3��N
S7
d
VALUATION SOURCE GAS
9. UTOF
Enum. Dist.
Location (Area)
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
1 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 75 / - ! )�
SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bug; Technniici'aan J
( 1 �N/e//
6'80
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 $ /•
H
PERMIT NUMBER
'8907
04*
*7.00
*7.00
890,62
08-21-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'8 `-12 81
DATE ISSUED
890,75
PERMIT NO.
*7,00°1
TOTAL