1980, 12-24 Permit: 80B-5218 Wood StoveNUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMF'1-..I: TI: NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
�. D--3,0
LOT I BLOCK ISLYRDIVISION PARCEL NUMBER/S
2.
OW R PHONE
3. 4 a2 -8%v- I -/,T
ADDRESS
ZIP
Actual Set Backs in Feet
s v�d 7
/
zQ 6
North South East West
CO TRACTOR
PHONE
Size of Parcel
Zone Classification
4'
A RESS
ZIP
Type Const.
Occupancy
Sprinklered
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
No. Bo.
aths
N
Stories
No. Rooms
No. of Dwellings
TYPE❑ NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
I
7, OF ❑ OTHER
1:1 BLD. ❑ PLMB. MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
SCRIBE WORK
Enum. Dist. Location (Area)
8 -
FEES COLLECTED
VALUATION SOURCE
CAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
OF
9. �— UTILITIES
I
j
Public ❑ Private
Single $
1 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
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Idel
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
Plumbing
DATE OF APPLICATION _ '. SIGNATURE OF APPLI ! v x 1� �
Mech.
cpGrini nppRnvni c SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $�_
PERMIT NUMBER
04* *7.00
*7.00 �
521.79
12-24-80
g 1479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
��
DATE UDEUOVPERMIT NO. Z
�� 52
TOTAL