1982, 10-21 Permit: 82A-9939 Wood StovePLAN NUMBER
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
JOB ADDRESS
LIZA.'i3ETti
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
IVISION
OWNER
3. AJC-CrIS
ADDRESS
4. 2SOS
CONTRACTOR
4. SA,inE
ADDRESS
6Arn6
DESIGNER
5.
N Atm' tc.1z
PHONE
CIzz--2s4S3
PARCEL NUMBER/S
ZIP
EL_t-trac e rta
Actual Set Backs in Feet
North 'South East 'West
PHONE
Size of Parcel 1 Zone Classification
ZIP
Type Const.
Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Valuation I Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
•
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
Ltl NEW 0 ALT. ❑ D N. 0 RPL. ❑ MVE.
❑ BLD. ❑ PLMB. 1 MECH. ❑ M.H. 0 POOL
0 OTHER
No. Baths
' No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Rebid.
DESCRIBE WORK
8 Wbo i n Rna rot.
"1 -roue
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
'SEWER
Ownership
Public 0 Private ❑
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 INSPECTIONS
DATE OF APPLICATION jn =2E19 aL SIGNATURE OF APPLICANT M/n2. Al/1
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bulidin. echnician
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech. + 7 . cr
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 20-
PERMIT NUMBER
ea& aq=
04* *20.00
-99388
1'020-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE;
THIS BECOMES A PERMIT.
i. 1 it ;¢ di I
PERMIT 1S NONTRANSFERABLE 1'0 P (211.8'2!
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED'
9195.19 Z *.2;0'0 0 Da -
PERMIT NO. - TOTAL