1983, 11-16 Permit: 83B-1789 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. N. 1703 Center Road
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
4.
OW R.
is
Staff /. Chester Ryum
g422•12677
PARCEL NUMBER/5
ADDRESS
same
CONTRACTOR
Stove Shoppe
ZIP
Actual Set Backs In Feet
North 'South [East (West
P YE6136t
Size of Parcel 1 Zone Classification
ADDRESS
E. 111 Buckeye
ZIP
99207
Type Const.
Occupancy
Sprinklered
['Yes ONo 0 Req'd.
5.
DESIGNER
PHONE
Valuation 1 Building Area In Sq. Ft..
ADDRESS
21P
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE ] NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
7. OF
WORK 0 BLD. 0 PLMB. 0 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.
DESCRIB
$ insta iO ftermont Castings wood stove
V ALUATI ON, 50U RCE
OF
9. FUTILITIES
Enum. Dist.
Location (Area)
. GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
I hereby certify tat 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 specifiedherein 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 11/14/83
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
. Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician.
SPECIAL CONDITIONS:
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 • $ 190
PERMIT NUMBER,
838 /7PQ
04* . *2000
*20.006
A *000 3
178.82
11L-16-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'Lf..16;.8 { 78'91
DATE ISSUED PERMIT NO.
41. t.
*-210,0;�I dhD .J
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