1982, 01-05 Permit: 82A-0064 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
i227-3/40
LOT
2.
BLOCK
CI CCC
SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
OW EYNCJ'\
R
3.
ADDRESS17_2-2-0 qwcicc-e-
PHONE
7,�._ 0793"
9P2 2-0
PARCEL NUMBER/S
Actual Set Backs In Feet
North !South [East 'West
4.
CONT CT R
v ✓
ADDRESS
PHONE
Size of Parcel Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
Dyes DNo 0 Req'd.-
5.
DESIGNER
PHONE
Valuation i Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfln. Basement
ErNEW 0 ALT. 0 AO N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. I�MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms'
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
9.
DESCRIBE WORK
1\161°0
<12\16
� Vf6 Ic
EC
VALUAATIONy/"I \I'GAS ELRIC
SOURCE
OF
UTILITIES
Enum. Dist.
Location (Area)
WATER
SEWER
Ownership
Public 0 Private 0
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 j
DATE OF APPLICATION _-S - 16.IC SIGNATURE OF APPLICANT
1/4177/4.
lit
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
4 Plans Examiner
SEPA Checklist
t �Y
B i Tech (clan
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. ' 0
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL
$ �0
PERMIT NUMBER
82A-oGYa4-
04* *20.00
*2Q00 1
*20.006
A *0.00
63b,1 -05-82 •
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01.1*0.9'812i • '64.2 * 2'OA 0 2,0
DATE ISSUED PERMIT NO. TOTAL