1982, 10-28 Permit: 82B-286 Wood StovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES - PRt'iSS HARD TO MAKE 3 -COPIES
o LEGAL DESCRIPTION - SEE ATTACHED
SUBDiV iSIO
OWNER �
3 Ao( r-OONI V• cpb135
15815 1-1-KoY
CONTRACTQR_
4.
5.
PHONE
1(11
P
ONE' G
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South [East 'West
Size of Parcel Zone Classification
ADDRESS
DESIGNER
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation )Building Area In Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO •
Area of Decks
Finished Basement
Unfin. Basement
TYPE GJ NEW
7. OF
WORK 0 BLD.
DESCRIBE WORK
8. VALUATION O'v,],//)
9.
❑ ALT. 0 AO •❑ RPL. 0 MVE.
❑ PLMB. 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.
SOURCE
OF
UTILITIES
1(7.\1 C/
GAS
Enum. Dist.
Location (Area)
ELECTRIC
WATER
SEWER
Ownership •
Public ❑Private 0
USE CODE
I hereby certify that 1 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 t§IDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
2 ------SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
UtIlltles
Plans Examiner
SEPA Checklist
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
04* *2000
*20006
A *000
2852
'1'0-28-82
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
• l O :.2;16. 18 2'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
2862 *210.:00a1e-
PERMIT NO. TOTAL