1981, 10-20 Permit: 81B-888 Wood StovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3•COPIES
JOB ADDRESS
1. E. !311.7 HER
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
4.
OWNER
DON4LP A GRigsEME-R
PHONE
9Zz— 0(o70
PARCEL NUMBER'S
ADDRESS
B. 13,11 H .ofz.o7
CONTRACTOR
ZIP
992/ •
PHONE
ADDRESS
ZIP
5.
DESIGNER
PHONE
ADDRESS
ZIP
Actual Set Backs In Feet
North 'South East (West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
❑Ves 0 N 0 Req'd.
Valuation Building Area in Sq. Ft.
Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE 0 NEW
7. OF
WORK 0 BLD.
❑ ALT.
O PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
O M.H.
O MVE.
O POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.'
Not Req'd.
DESCRIBE WORK
8. WooS-rbVE /NSTA 1-4 N-noN
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private 0
USE CODE
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
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 SIGNATURE OF APPLICANT_.
2.0
' SPECIAL APPROVALS SPECIAL CONDITIONS:'
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
' FEES COLLECTED
S ngle $
Building •
Plumbing
Ce
Mech.
Plan Check
SEPA
Mobile Horne
)SSU 22
Other (Specify) to )Sr
TOTAL $ 17 2to
M
PERMIT NUMBER
818 —MC?
04*
* 17.00
* 17.00 17)
8878
10-20-81
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ll;+ , 10 t_,r • 8.8.8•Z *17..00'2
DATE ISSUED PERMIT NO. TOTAL