1981, 07-27 Permit: 81A-7469 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. S. 5 /2.- Houk
LOT BLOCK
2.
LEGAI4 DESCRIPTION - SEE ATTACHED
SUBDIVISION
PARCEL NUMBER/S
OWNER
3. Dour- jONCAID
ADDRESS
s . siz Houk
CONTRACTOR
4 SAME
ADDRESS
PHONE
'ULF- 8730
ZIP
992!6
PHONE
ZIP
5.
DESIGNER
PHONE
ADDRESS
ZIP
Actual Set Backs in Feet
North 'SouthEast (West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
Valuation Building Area in Sq. Ft.
Main Floor • Upper Floors Garage Area Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
CYNEW 0 ALT. ,0AD N. 0 RPL. 0 MVE. /
❑ BLD. 0 PLMB. L"J MECH. ❑ M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. Woop S 7o%/ . 1t15TAlL � foN_
VALUATION' SOURCE GAS ELECTRIC
9.T`300%UT30OI LOITI ES
Enum. Dist.
Location (Area)
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 constructipn or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF,APPLICATI ON 7— 7—c/ SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building -
Plumbing
Mech.
Plan Check
SEPA _
Mobile Home
p7SS
f5star 0
Other (Specify) 10
00
TOTAL $ 1-7
4
PERMIT NUMBER
SIA -7`-G9
04* *17.00
*17.00
*17.00'6
A *000 8
74682
07-27-8'1
2 6479.
•
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
• Ot4 i'r217:! '81'1! 7' 4 6: 92 * 17.0.0 a
DATE .ISSUED PERMIT NO. TOTAL