1979, 11-16 Permit: 79-7995 Wood StovePLAN NUMBER
JOB ADDRESS
1. P-7 .
L
2.
O
3.
A
E
DRESS
JTRACTOR
DRESS
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DESIGNER
5.
. ADDRESS
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
LEGAL DESCRIPTION SEE ATTACHED
SUBDIVISION PARCEL NUMBER/S
PHONE
9 a?F- 3!
ZIP
9-;ZI-e�
PHONE
ZIP
PHONE
ZIP
CHANGE OF USE FROM TO
6.
TYPE ❑ NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7 WORK 1:1 BLD. ❑ PLMB. It�MECH: ❑ M.H. ❑ POOL ❑OTHER
DESCRIBEWORK A R i
equired Set Backs in Feet
orth South
East West
ize of Parcel
Zone Classification
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
Type Const.
Occupancy
Sprinklered
I
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
❑Yes ❑No ❑ Req'd.
aluation
Building Area in Sq. Ft.
DATE SIGNATURE
9
DWL Area
Basement Area
Garage Area
Storage
DEPT.. REQ'D. RECD.
Plan Check
Env. Health
Split Entry
Split Level
Rancher
Planning
-
Mobile Home
No. Baths
No. Floors
No. Rooms
Rec. Room
Utilities
a�
TOTAL $7.9--d—
-CERTIFICATE
Req'd.
I Recd.
Not Req
of EXEMPTION
THIS BECOME A P RMIT
J��
DATE OFFICIAI &._,, �����a>
X79'
FEES COLLECTED I
VALUATION SgUrce GAS ELEQTRIC WATER SEWER
of
I I
9. Utilities
Single. $
1 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
Building
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.
Plumbing
DATE SIGNATURE
9
Mach._
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT.. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
-
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
a�
TOTAL $7.9--d—
Zone
Zone Clearance
WHEN MACHINE VALIDA'
`SEPA Checklist/i /�
i
THIS BECOME A P RMIT
J��
DATE OFFICIAI &._,, �����a>
X79'
APPROVED FOR ISSUANCE
PERMIT NUMBER
DATE// --A _ %q
04 *70'0
*Z0,0 �i
*7.00.6"
E *000
79'9,4;@
_11=1'6-7:9
6479
SPACE,
79`9.55 *7.0�0,.a-[J-.