1982, 10-28 Permit: 82B-0314 Wood StovesPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260• / (509) 4563675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3•COPIES
JOB ADDRESS
1. C- IZ(p1z L-oL.k
LOT BLOCK SUBDIVISION
2.
LEGAL DESCRIPTION — SEE ATTACHED
3.
4.
5.
OWNER
U 2.' u- .ARL
PHONE
424 5v4
PARCEL NUMBER/S
ADDRESS
E , 1ZCotz
CONTRACTOR
ADDRESS
16v01.6
DESIGNER
ZIP
�c 421.
Actual Set Backs in Feet
North 'South East 'West
PHONE
Size of Parcel 1 Zone Classification
ZIP
Type Const.
Occupancy
' Sprinklered
Dyes ❑No 0 Req'd.
PHONE
Valuation • (Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
''NEW 0 ALT. ❑ AD N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. {MECH. 0 M.H. ❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
CRIBE WORK
8. 1A.10e5D o.R. tQ i N C. SiethilES
VALUATION
GAS
9.
SOURCE
OF
UTILITIES
Enum. Dist.
Location (Area)
ELECTRIC
WATER
SEWER
Ownership
Public ❑ 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 REVERSERSIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION��Op
'z o
- D SIGNATURE OF APPLICANT '�1�
Env
SPECIAL APPROVALS
NAME DATE
Health
Planning
Fire Marshall
Co. Enginee
Utilities
Plans Examine
SEPA Checklist
SPECIAL CONDITIONS:
0.sEe'1.-ry r
1 G nvirac.E
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. 30.E
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
04* *3000
*30.00'6
A *000 8
31.32
10-28-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10111121
DATE ISSUED
1
PERMIT J.1 ° z
* 3.O'141)8/a2