1981, 02-17 Permit: 81A-1548 StoveNUMBER 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
Joe ADDRESS
Occupancy
LEGAL DESCRIPTION — SEE ATTACHED
I
LOT
BLOCK
SUBDIVISION
DESIGNER
PARCEL NUMBER/S
2.
Building Area in Sq. Ft.
5
OWNER
1\'N `I1L `D P"�
PHONE.
�1' "ZS5 N
3.
ADDRESS
ZIP
Main Floor Upper
ADDRRESSijZZIIPP
Garage Area.
Storage
Actual Set Backs in .Feet
/
2066
LeftfcL_
x-'1."1
North South East West
CONTRACTOR
Area of Decks
PHONE
Size of Parcel
Zone Classification
4 il'6�.ir
PERMIT NUMBER
M 8 I s 64.6
04:* * 1 7. 0,0
*17.0.0 'Un-
* 1 7.006
A * 0.0 ,0 00
15[,7'2
0 2 `- 1 7'- 81,1
2 6479
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5
ADDRESS
ZIP
Main Floor Upper
Floors•
Garage Area.
Storage
_
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
'
%, OF❑ ❑OTHER
BLD. ❑ PLMB. •VMECH. ElM.H. El POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
ofEXEMPTION_
J
T
DESCRIBE WORK
Enum. Dist.
Location (Area)
8 L��D'flall.(?(OINL\ �OLII�
FEES COLLECTED
VALUATION
SOURCE .
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
Public ❑ Private ❑
Single $
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
Building
to give authority to:violate or cancel the provisions of any, other state or local law r gulating construction or the
performance of constri,lction. SEE REVERSE -SIDE FOR REQUIRED INSPECTIO
Plumbing
o
•
6 �% ��o ��
Mech.I�`yb
DATE OF APPLICATION I( SIGNATURE OF APPLICANT
SPECIAL APPROVALS
SPECIAL CONDITIONS:,
NAME DATE
Plan Check
Env. Health
•
SEPA
>-
Planning
a.
O
U
Mobile Home
_
Fire Marshall
J
W
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED
IN -THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
B 'Id'ng Technician
PERMIT IS NONTRANSFERABLE
0''Z0;}I'(-''8`l
15A' 8 Z *'1'7; 0'0:0 �.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. TOT