HomeMy WebLinkAbout1983, 11-14 Permit: 83B-1615 Wood StovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. T. $32C
LOT Ir BLOCK
OWNER
3. PcSAP
MAILING ADDRESS
�- 7324E
CONTRACTOR
2.
Sr-HARIZ/NQ-roN
PARCEL Nig. •-'=j
SUBDIVISION
4.
kRoLLS
141W -RI NCrToN
PHONE
92k-3811
PHONE
LEGAL DESCRIPTION:
ZIP
94212
Actual Set Backs in Feet to:
North 'South
[East
West
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential 0
Commercial 0
ADDRESS
ZIP
Type Const.
Occupancy
Spr'nklered
0Yes CNo CReq'd.
5.
DESIGNER
PHONE
New Coast. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin Basement
Unfin Basement
TYPE (a NEW 0 ALT. 0 AD' N. 0 RPL. 0 MVE.
7• OF
WORK 0 BLD.
❑ PLMB. Za** ECH. 0 M.H. 0 POOL
❑ OTHER
No. Baths
No Floors
No. Fin. Rooms
No. Dwellings
CertifI. of Exempt.
or Variance
Required YesD No
Received Yes Non
Number
8.
DESCRIBE WORK
WmDD 57bVC. /KS"rALLAT(oN
Shorelines/Flood Hazard
YesD Not Apollc.0
Flans Rego red 0
Received 0
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Ownership
Public 0 Private 0
I hereby certify that I have read and examined this appl cation 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 au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
SIGNATURE OF APPLICATION
OWNER ORAGEN DATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
- PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG Home
M (Specify) n
TOTAL $ .20
PERMIT NUMBER
83B— (G15
04* *2000
*2000 !n
*20.006
A .*000 0
161.42
11-14-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEISUER1; 4 =' 8? Js
PERMI4I6.15Z *2'0. 00 �o1AL