1982, 03-24 Permit: 82A-2137 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
2.
BLO K
5 BDIVISION
_LEGAL DESCRIPTION - SEEATIACHED
PARCEL NUMBER/5
3.
4.
J
55 - I 1 '
041
AD /
- 1I �z5 GI IL-6
CONTRACT
iSi
ADDRESS
PHONE
ZIP
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.
5.
DESIGNER
PHONE
Valuation • (Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
iW
0 BLD.
TO
Area of Decks
Finished Basement
Unfin. Basement
❑ ALT. ❑ N. 0 RPL. 0 MVE.
❑ PLMB.CH. 0 M.H. 0 POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
R eq'd.
Recd.
Nord.
DESC IBE WORK
B. O67
Enum. Dist.
Location (Area)
VALU TION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private
'SE 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
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Check is
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
C -460w 011\--F-441
&--11612-5 32S -366q-
G
. ✓rtro-n 0K1
FEES COLLECTED
Single $
Building
Plumbing
Mech.'
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
82!}-137
04* *20.00,
*2000 0
*2Q006
A *000 8
2,136.2
03-24-82
'R 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 ,
PERMIT IS NONTRANSFERABLE 0,311Z'4'a'81,2'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
y
2:15;71
- PERMIT NO. TOTAL
0-
O
U
LuJ
W