1980, 08-22 Permit: 80-8980 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. /575 /V, CoNTe72'
LOT
2.
BLOCK
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
OWNER
3. 1,-c)/tc2d9e/ if-h•Te/VE2
ADDRESS
/U. /5750 Cc-u7?r-c
CONTRACTOR
4. 5f}rn6
PHONE
gal -6c197
ZI P
719 2-ctiG
Actual Set Backs In Feet
North 'South East 'West
PHONE
Size of Parcel Zone Classification
ADDRESS
aofe
ZIP
Type Const.
Occupancy Sprinklered
OYes ONo 0 Req'd.
DESIGNER
5.
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM'
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unf in. Basement
NJ NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. IE/MECH. 0 M.N. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
Si ZOCIOACI e.,V/n1c
S 7-0,e
Enum. Dist.
Location (Area)
VALUATION SOURCE
OF
9. UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownersh i p
Public 0 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 o/'-2/8° SIGNATURE OF APPLICANT-7,04Ylarn
SPECIAL APPROVALS
NAME DATE
Env. Health
arming
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bel in echnician
2 a %,l.
SPECIAL CONDITIONS:
I
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
$ 7 E7U
PERMIT NUMBER
630 —898c
04* - *7.00 -
*7,00
89792
08-22-80•
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
c018 ;ir21'2''":8(01 898,'05 *7,00:2 -
DATE ISSUED PERMIT NO. ' TOTAL