1981, 02-26 Permit: 81A-1835 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
(J'�OB ADDRESS
OTI
1 BLO K $ BD I5 ON
LEGAL DESCRIPTION — SEE ATTACHED
2.
OWLN ER •
�
3.
ADDRESS
U
/.ur pc! p4 , u,
CONTRACTOR
4. NseP a fro
A[IDRESS
DESIGNER
6. ADDRESS
PHONE
9;14.-3 S99
ZIP
99206
PHONE
ZIP
PHONE
ZIP
PARCEL NUMBER/S /°ORT- /.2.s -TJ -.v'/6)/
E.7..5- O # N.. /SO ' OF l3LK 5.-5—
0.PCriAR0 AVE. AOD•
Actual Set Backs in Feet
North `South
Size of Parcel
7S X/S6
Type Const.
Valua»on 00
r 300
Main Floor
East (West
Zone Classification
G Sprinklered
-
Sprinklered
❑Yes ONo 0 Req'd.
Building Area in Sq. Ft.
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement'
Lint in. Basement
TYPE 0 NEW
7. OF
WORK 0 BLD.
0 ALT. 0 AD N. 0 RPL. ' 0 MVE.
SI OTHER
0 PLMB. E MECH. 0 M.H. 0 POOL
14'44-0-11.414twAw't. ap
DESCRIBE WORK
VALUATIONI SOURCE
C3004'2 UTILOITIES
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
AS/kb ELECTRIC
fe( SWATa. C.EWER i
GAS II ELECTRIC WATER ,I SEWER
Enum. Dist.
Loca
on (Area)
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 o7." ;7 I " P/ SIGNATURE OF APPLICANT • .A/Vl//�J
/aiJl.Q
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Tecniclatt �
A.OXnn1 %,(f ht/
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL eQ7 a
PERMIT NUMBER
8/4-/935"
02* *10.0.0
* 1000
18338
02-26-81
2 6479.
04*
* 17.0.0
* 17.0D y_
18348
02'=26- 8,1
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
il
012!&2(6 H8.1"
DATE ISSUED
1'8.3.5 +;2'7;0'01i'-. -
PERMIT NO. TOTAL