1981, 04-07 Permit: 81A-3191 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
1. 5. AUG libui C --C.
LEGAL DESCRIPTION - SEE ATTACHED.
LOT
z.
BLOCK
SUBDIVISION
T-O2CS-c ME Avow 157 A0o •
3.
OWNER
Sbe SALA;
PHONE
21S -3°13S
PARCEL NUMBER/S
ADDRESS
S • 4116 ILL& C -t.
ZIP
4.
5.
CONTRACTOR
IU
ADDRESS
vvir
DESIGNER
PHONE
ZIP
PHONE
ADDRESS
ZIP
Actual Set Backs in Feet
North (SouthEast (West
Size of Parcel Zane Classification
Type Const. Occupancy Sprinklered
❑Ves UNo 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
7. OF
WORK
IQ'NEW 0 ALT. 0/AD N. 0 RPL. 0 MVE.
BLD. 0 PLMB. Ltl 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.
8. UJDUR9,iouEK U1/ 44.456n1124 C411W1nJEi
Enum. Dist. I Location (Area)
VALUATLON
9. 5 v—
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
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 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 INSPEC„IONS
DATE OF APPLICATION hi- 7-37 SIGNATURE OF APPLICA
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marsha
Co. Engineer
Utilities
Plans Examiner
SEPA Checkl
Building chnlcia
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building ` `•O' 00
Plumbing 1^ -7�
Mech. 1 1-C )
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL - $ 27. co
PERMIT NUMBER
81►� � 3vst
02*
* 10.00
* 10.00 1
318.9g
'04-07-81
g 6479.
04* *17.00
* 17.00
31 9.0g
04.-07-81
g 6479. •
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
•fOy4L�01�if
Q 0iq. 3"19'1''1 1217.0;0,2 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL