1982, 03-29 Permit: 82A-2283 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
t. E . 1
LOT
2.
BLOCK IS DIVISION E.(Zo ,
'LEG'At DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
OWNER
3 CF^P6E,
ADDRESS
C. ISB6 I
CONTRACTOR
4 SAMF
ADDRESS
SA nth
DESIGNER
5.
Io. Y1IAWCS
I"�E2o Y
PHONE
G-2.14-4i&t
ZIP
qCC 24 (0
Actual Set Backs in Feet
North !South East IWest -
PHONE
Size of Parcel 1 Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
Dyes 0No 0 Req'd.
PHONE
Valuation I Building Area i Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE
7. OF
WORK
/NEW 0 ALT. 0— /AD N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. dMECH. 0 M.H. 0 POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Vicestre4.42N1 Iw�G
TO asE
Enum. Dist.
Location (Areal..
VALUATION
9.
SOURCE
• OF
UTILITIES
GAS 1 ELECTRIC
WATER
SEWER
Ownership
Public 0 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. ///EjjjEREVERSE SIDE FOR REQUIRED INSPECT!6 S
DATE OF APPLICATION �a / SIGNATURE OF APPLIC' .' u
SPECIAL APPROVA S
NAME DATE
Env. Health
Planning
Fire Marsha
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B ding Technician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
FEES COLLECTED
Single $
Building
Plumbing
Mech. -
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ C5 • cc)
PERMIT NUMBER
$2A—"7•x•83
01t* *20.00
*20.00
2.2922
03-29-82
3 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
a'13; 047!•81,21
&'3, is *:2 O.0.0 De. -
PERMIT NO. TOTAL'