1982, 01-21 Permit: 82A-585 Wood Stove. 'PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILI NC CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3•COPIES
JOB ADDRESS
LOT
2.
BUSK SJOBD 4VISION
EI�/11EQ OLS
LEGAL DESCRIPTION — SEE ATTACHED
3.
OWNER
S . —2Atv�'�c (L
PHONE
PARCEL NUMBER/S
ADDR
EESSS ,t
J. LX�T
ECXac2Tc0 h)CICO
ZIP
Actual Set Backs in Feet
North 'South East JWest
4.
5.
CONTRACTOR
ADDRESS
S?YY�F
DESIGNER
PHONE
Size of Parcel Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes DNo 0 Req'd.
PHONE
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF\;ISE FROM
6.
TO
Area of Decks
Finished Basement
Unfln. Basement
TYPE IINEW 0 ALT.
7. OF
WORK ❑ BLD. 0 PLMB.
0 AD N. 0 RPL. 0 MVE.
12/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.
DESCRIBE WORK
8. t4-)06.— 1,(A&
INCA c 1ocC
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE GAS
OF
UTILITIES
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 REVERSEISIDE FOR REQUIRED INSPECTIONS
N�t
DATE OF APPLICATIO/ �d� SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Jiuyttling Technician
9
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech. .20.eio
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 90 • C:tay
PERMIT
ANUMBER r
711 ��1r-bSE
04*
*2Q00
*20.00 V)
5842
01-21-82
3 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
011l;x•l?'1'-'821
5'8.51 *20.22
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL