1982, 10-26 Permit: 82B-140 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
JOB ADDRESS
1. E . ‘.311‘LESMcT
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNER
a L•4 LE
ADDRESS
C tct\
Sa.L.4•N !JEW'S
e t
PHONE
nom+-zssc
ZIP
c tcttL C
Actual Set Backs in Feet '
North 'South
East - 'West
CONTRACTOR
4. ADDRESS E/
titscLAA,*
S
DEESIGIGNEERR
t,
•
5.
PHONE
Size of Parcel
Zone Classiflcat ion
ZIP'
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
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
Unf in. Basement
7.
TYPE
OF
WORK
YJ NEW 0 ALT.
0 BLD. 0 PLMB.
9D N. 0 RPL. 0 MVE.
VMECH. 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
B. \Aj07caraIdc �Yove
OF
9. UTILITIES
VALUATION SOURCE'
GAS
Enum. Dist. • I Location (Area)
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private ❑
USE CODE
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 regulating construction or the -
performance of construction.
REVERSE SIDE FOR REQUIRED INSPECTIONS
J
DATE OF APPLICATION l \ •Q.(01 AR2-6IGNATURE OF APPLICANT U .t S
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklis
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. L 20._00
Plan Check
SEPA -
Mobile Home
Other (Specify)
TOTAL $ZO'Or?
PERMIT NUMBER
ftPr t 4-e)
04* *2Q00
*2Q006
A *Q00
139`g
10'26-82
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ia:7,12!16::7!,81,2l:
1'405 *20,0;0 P—
DATE ISSUED PERMIT NO. TOTAL