1980, 07-08 Permit: 80-6823 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
,. ED�35oy
2.
BLOC
s�BBrViSlo
LGAL-OESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
OWNER'
3. ADDRESS
e.
psf
CO TRACTOR
4. rru0
AC/6,10R ESS
PHONE
.2:-2..-a<110-.
ZIP
99/�i
'Actual Set Backs in Feet
North 'South East (West
PHONE .
Size of Parcel 1 Zone Classification
ZIP
Type Const.
Occupancy
5prinklered
0Yes 0No 0 Req'd.
5.
DESIGNER
PHONE
Valuation I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
TO
Area of, Decks
Finished Basement
Unfln. Basement
TYPE 0 NEW
7. OF
WORK ❑ BLD.
O ALT. 0 AD N. 0 RPL. 0 MVE.
O PLMB. J MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
ESCRIBE WORK
8. ,
at -
r6 -241 VALUATION
OF
9. — U
AifY�-s'"U� 494.4.411---en;4 4/..e• ft-'2/-4"
GAS ��EE
ELECTRIC
WA R
Enum. Dist.
Location (Area)
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 or. ces governing this
type of work will be complied with whether specified herein or not. The granting of . perm- does not pre s •'e -
to give authority to violate or cancel the provisions of any other state or local la egulati constructs y7 r the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT' ' S if
DATE OF APPLICATION ''-p --F-24 SIGNATURE OF APPLICAN �/ UNY
SPECIAL APPROVALS
NAME DATE
Env. Health
lanning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
iltll Te hnicla
,.11� rJ am
SPECIAL CONDITIONS: .
PERMIT IS NONTRANSFERABLE
1'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
y 401
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL 7-44-
M
PERMIT NUMBER
g6-6 823
044
*7.00
*700 17)
682..22
07-08-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0.04084:80' 68'2,.32 • *7.0"0.a -
DATE ISSUED PERMIT NO. TOTAL