1982, 09-24 Permit: 82A-8665 Wood Stove(rLAN 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
1. N
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
OWNER
3.
ADDRESS
PHONE
C.AR. rvT1(a. 2
PARCEL NUMBER/S
GA�v :IN
ZIP
Actual Set Backs in Feet
North 'South East (West
4' ADDRESS
VV
DESIGNER
CONTRACTOR
Ws. rlete*
PHONE
Size of Parcel 1 Zone Classification
5.
ZIP
Type Const.
Occupancy
Sprinklered
Eyes ❑No ❑ Req'd.
PHONE
Valuation 1 Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
/NEW 0 ALT. EliAD'N. 0 RPL. ❑ MVE.
0 BLD. 0 PLMB. !J MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Vt.N
VALUATI ON
9.
SOURCE
OF
UTILITIES
Enum. Dist. I Location (Area)
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
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 INSPECTIO S
DATE OF APPLICATIO
SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
1tAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B ''ding Technician
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech. S2d)•Me)
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ `o. c
PERMIT NUMBER
f3ZA Se 5"
04* *2000
86642
09-24-82
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09-'24i-82
866.5z *20.00a172 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL