HomeMy WebLinkAbout1983, 04-01 Permit: 83A-2484 Wood StovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1.
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
WNER
3 fvNLS
MAILING ADDRESS ZIP
tb , t O V% E1x,.E.¢.�ov.1 GiGt'7..ct'
S AN beta
PHONE PHONE
aaF3dmss
LEGAL DESCRIPTION:
4.
CONTRACTOR
SAYVkE
LICENSE EXPIRES PHONE
Actual Set Backs in Feet to•
North 'South )East IWest
Size of Parcel 1 Zone Classification
Residential 0
Commercial 0
ADDRESS
DESIGNER
5.
ADDRESS
ZIP
PHONE
Type Const.
Occupancy
Spr nklered
DYee CNo OReq'd.
New Const Valuation
Remodeled Valuation
Total Bldg Floor Area
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
B.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin Basement
TYPE BYNEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
%. OF
0 BLD. 0 PLMB VMECH. 0 M.H. 0 POOL
WORK
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
CertifI. of Exempt.
or Variance
Required Ves° No0
Received YesO No0
Number
8.
9.
DESCRIBE WORK
6oDs oO'
VALUATION �SOOUFCE
Shorelines/Flood Haza d
YesD Not Applic. 0
Plans Requ red 0
Received 0
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Ownership
Public 0 Private 0
I hereby certify that I have read and examined this appl cation 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 au-
thority to violate or cancel hp provisions of any other state or local law regulating construction or the performance
of construction. SEE REV E SIDE FOR REOUI D INSPECTIONS
OWNER
OF ✓
DATE N �3
OWNEERROR AGENT".��G+'_. G_
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
'MO-qOd
TOTAL $
PERMIT NUMBER
S3A -i-84
04* *2000
*20.006
A *000 a
24832
04-01-83
g 6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
DATEQSW DU 11" — 8
,/tt1 Q:
PERMI O. `^ 4 Z
*2100t*AL