1980, 08-29 Permit: 80-9368 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. 4/. /906
L•4 ar2i1
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
PARCEL NUMBER/S
OWNER
3 Do/v44,0 D 7T
ADDRESS
4!. /9og L.rluie74
PHONE
9ze /Sees
ZIP
9920C
Actual Set Backs in Feet
North 'South"
East
'West
4.
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
Yes ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
03/NEW 0 ALT.
❑ BLD. 0 PLMB.
o AD,'N. 0 RPL. 0 MVE.
Er/MECH. 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.
DESCRIBE WORK
8. Wc:a0Ae mJef1)
VALUATION
9.
SOURCE
OF
UTILITIES
Enum. Dist.
5 70 06-
Location (Area)
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 re gG lating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
8v
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bui ITechnican
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
101
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single _ $
Building
Plumbing
Mech. 47. 00
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ /
PERMIT NUMBER
8o - 9365
04*
*7.00
*7.00 N
93678
08=29-80
g 6479,
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
b. 842#i!'810!
i!'8101
DATE ISSUED
9 8'z
PERMIT NO.
1*-7.00ae
TOTAL