1980, 05-13 Permit: 80-4707 Wood StovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (609) 4563675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3•COPIES
,�pJOBADDRESS
1-4_;5.(- LB o�
2. 7 2�
OW ER
1
VI51C
DDRESS
X762
CO»TRACTOR
4.
5.
A , DRESS
$-
DESIGNER
4ajz tA�. iilt adie,
PHONE
924-44567
PHONE
ZIP
PHONE
ADDRESS
ZI P
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S
Actual Set Backs In Feet
North (South East 'West
Size of Parcel Zone Classification -
Type Const. Occupancy Sprinklered
❑Vas ❑No 0 Req'd.
Valuation Building Area I Sq. Ft.
Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE 0 NEW
7. OF
WORK 0 BLD.
❑ ALT. 0 AD N. 0 RPL. 0 MVE.
❑ PLMB. K' MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
ESCRIBE WORK
B. t WORK
Ra-,u o -..f aa4Q . u.> u•/.a e -re-
Enum. Dist.
Location (Area)
9.
VALUAT ION( SOURCE
OF
UTILITIES
GAS 1 ELECTRIC
WATER
SEWER
Ownership
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 INSPECTION
DATE OF APPLICATION S -in -8a SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Hoalth
Planning
Fire Marshall
Co. Englnee
Utilities
Plans Examiner
SEPA Check!
Building Te/ nici
SPECIAL CONDITIONS:
• PERMIT IS NONTRANSFERABLE •
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
#Ito_
Mech.
Plan Check
SEPA '
Mobile Home
Other (Specify)
TOTAL 7-4a"
PERMIT NUMBER
04* *7.00
*7.00 N
*7.006
B *0.00
47Q6g
05-13-80
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11',,3;.Y8,0
DATE ISSUED PERMIT NO.
417t'0.75 *7.0'0a•�
TOTAL