1980, 09-30 Permit: 80B-1125 Wood StovePLAN NUMBER
APPLICATION/PERMIT
cri5evero ' 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. 7c/e
Cs.PG/scs
LEGAL DESCRIPTION - SEE ATTACHED
2.
3.
LOT
BLOCK
SUBDIVISION
OWNER
Ctftte /fuFF
PHONE
Cp7.2 SGG.a
PARCEL NUMBER/SA, i TTAV/S, Get. S. "0,
F/ms: Aca#nor/ To eoc E,-roAJ
ADDRESS
G . 7Z/9 Os9f eusce
ZIP
Actual Set Backs in Feet
North (South
' East (West
4.
5.
CONTRACTOR
PHONE
Size of Parcel Zone Classification
ADDRESS
DESIGNER
ZIP
.'Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Valuation Building Area In Sq. Ft.
500"
ADDRESS
ZIP
Main Floor.
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
•
TYPE
7. OF
WORK
Vie
NEW 0 ALT.
WI BLD. 0 PLMB.
El AD N.
Ld MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. -Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8.LLOO,oRL/.e 44.1q s7vvE
1JVALUATION SOURCE GAS
g UI OF
ft .Cyp TILITIES
Lvl/049Sc01k2y . CWAPPIN
Enum. Dist. I Location (Area)
ELECTRIC
WATER
SBWER
Ownership
Public 0 Private 0
,USE CODE
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance of construction.
examined this application and have read the "NOTICE" provisions included
to be true and correct. All provisions of laws and ordinances governing this
whether specified herein or not. The granting of a permit does not presume
the provisions of any other state or local law regulating construction or the
SEE REVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION 9— 3O --C/`' SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Eng
nee
Utilities
Plans Examiner
SEPA Checklist
Bud i Technician
fie
s
4/031&
SPECIAL CONDITIONS: '
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing /q,,�.
M• ech. `' 1
`Crt,
P• lan Check
SEPA
Mobile Home
Other (Specify)
$
#(CL eoC'
TOTAL $ 1760
tr
PERMIT NUMBER
803 - nt.'s"
02* *1000
*1000
11232
0-9=30-80
6479.
04* *7.00
*7x00
11248
• 09=30-80
2 6479.
N
0)
WHEN MACHINE VALIDATED IN THIS SPACE,
.THIS BECOMES A PERMIT.
O!9 -IO :`8,;01
. DATE ISSUED
1'1,25'2 *17.0:02 -
PERMIT NO. TOTAL