1980, 09-24 Permit: 80B-849 Wood StovePLAN NUMBER
V
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 F)ODRE5,,,,,,,,////////SiV �k9O
LOT ,N/
2. ,t
4.
5.
BLOCK
1
SUBDIVISION
OWNER '
4eJtt1azL
Ab DRESS
ff.
77,/d ('�tfia Pds� ��t2 E �ntzyP
co
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
qtr,(—i/o7
PARCEL NUMBER/S
TRACTOR
ADDRESS
RVH,Ginn./.Qi
DESIGNER
ZIP
rP9:1-n40.
Actual Set Backs in Feet
North 'South
East
(West
PHONE
ZIP
PHONE
Size of Parcel
Type Const.
Valuation
Occupancy
Zone Classification
Sprinklered
Yes DNo, 0 Req'd.
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
0 NEW
❑ BLD.
'0 ALT.
0 PLMB.
0 AD N.
J MECH.
O RPL.
❑ M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
7--„?
,f 7174---.
—
nt',.(i&.a 4T2 LQJ —
VALUAttIcSNISOURCE
OF
9. UTILITIES
GAS
ELECTRIC •��/V
VV�10
WATER
Enum. Dist.
Location (Area)
SEWER
Ownership
Public ❑Private 0
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SIGNATURE.OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co..Englneer
Utilities
Plans Examiner
SEPA Checklis
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
• Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify/ f�( ^�
TOTAL $ t'Ya
e 7a
PERMIT NUMBER
eoi?)-84-i °(
02* *1Q00
*1000
8473
09.=24-80
3 6479. ,
*7.00
*7.00
04*
8483
09-24-80 _
3 6479. -
WHEN. MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
bi91144'1t 8„b' 8:4 9'5i it'17.10:0•2,
GATE ISSUED' PERMIT NO. TOTAL