1982, 02-05 Permit: 82A-840 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
1.CAL)--)r--)
LOT 7-LirDI ISION A�r3
BLOCK
2.
OWNERnAn
III
a Asav
ADDRESS
S 2 acs
CONTRACTOR
4.
ADDRESS
CD-r1y1t6
DESIGNER
5. ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
PHONE
424- qa.
ZI P
QC('Zrrre;
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.
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
KNEW 0 ALT. ❑JAD N. ❑ RPL. ❑ MVE.
0 BLD. 0 PLMB. IY MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. blb6Du1 a/4/ C S•ry E Itv C�atz we c.
VALUATION SOURCEGAS ELECTRIC WATER
O
9.UTILITIES
Enum. Dist.
Location (Area)
SEWER
Ownership
Public ❑ Private ID
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 ofconstruction...,SEE//E{{R//EVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATIONII�_„ i1/�Z— SIGNATURE OF APPLICANT
41/.1,___!
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
SPECIAL CONDITIONS: ilii Lt5 t 4l V (so A t e FLccy
Fire Marshall
Co. Engines
Utilities
Plans Examiner
SEPA Checklist
ding Technician
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech. Z0 • CC.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ -?O god
PERMIT NUMBER
E' p _S440
04* *2000
*2000
*20.008
A *000
839
, 02-05-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
4 ti-,
8,40'Z *2'0.00
O -J
11.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL