1979, 10-01 Permit: 79-5084 Wood StovePLAN NUMBER
APPLICATION/PERMIT N
SPOKANE COUNTY - BUILDING CODES DEPARTMENT ,/ 99 -See'/
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE/6-11— 7G/
04* *7.00
LEGAL DESCRIPTION - SEE ATTACHED *.7. 0 u1
*7.006
PHONE E *0.00 U
ZIP 5 0 fl 3
99
ZIP NortRequh red SSet Backs in Feet
1South Eastt(West
10-01-79
6479,
PERMIT NUMBER
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
OWNER � pC
ADDRESS
4, 9z�-
PARCEL NUMBER/S
�0&
CONTRACTOR
p MA t
ADDRESS
/2 44.1
PHONE
Size of Parcel
Zone Classification
ZIP
Type Con
Occupancy
Sprinklered
Dyes DNo 0 Req'd
DESIGNER
PHONE
Valuation
Building Area In Sq. Ft.
ADDRESS
ZIP
D W L Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7, OF
WORK
KNEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
0 BLD. CI PLMB. • �MECH: D M.H. 0 POOL
0 OTHER
No. Bath
No. Floor
No. Room
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE V1ORK�i. '^
8. 14,1, 4r0 XXif ii4-3&'
VALUATION
9
Source
of
Utilities
f-O'zf'LX�L(1 i%/.L4G2C/�
GAS ELECTRIC wl tM�
WATER
SEWER
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 o local law regulating construction or the
performance of construction. X
DATE /e9'- J 79 SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
' Env. Health
Planning
Fire Marshall
Co. Engineer
Utilitie
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATO4T `f-7rt OFFICIAL.IIC4�¢J/ r(, / AIQ�
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing r/
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
ro
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
101-'0 IF: 7'9 5' 0 8.4
*7.00'°'i
-�