1980, 07-01 Permit: 80-6578 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
2.
3.
JOB ADDRESS
ti• 35
LOT
BLOC
c �r oo 0
LEGAL DESCRIPTION - SEE ATTACHED
SUBDI IS N
PARCEL NUMBER/S
4.
5.
6.
OWNER
ZLo.vveo P4o7Z.C/
ADDRESS
/1J• SsOc Co Gt"cuooio
CONTRACTOR
s#tn/
PHONE
V-9216
ZIP
99zoc,
PHONE
ADDRESS
s "one
ZIP
DESIGNER
PHONE
ADDRESS
ZIP
Actual Set Backs in. Feet
North (SouthEast ,(West
Zone Classif!cation
Occupancy Sprinklered
❑Ves ONo 0 Req'd.
Building Area in Sq. Ft.
Upper Floors I Garage Area Storage
Size of Parcel
Type Const.
Valuation
Main Floor
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
117 NEW
0 BLD.
0 ALT. �//0AD N. 0 RPL. 0 MVE.
0 PLMB. LV MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. WO op 8u/tAlt •V!�
VALUATION GAS
9.
SOURCE
OF
UTILITIES
Enum. Dist.
SToc/6
Location (Area)
ELECTRIC
WATER
SEWER
Ownership ei USE CODE
Public 0 Private
1 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 INSPECTIONS
DATE OF APPLICATION ''/7/00
SIGNATURE OF APPLICANTO2fM. vtiy�'te
SPECIAL APPROVALS
NAME DATE
Env. Healt
Planning
Fire Marshall
Co. Enginee
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ /• co
PERMIT NUMBER
So b578
04* *7.00
*7.00
*7006
B *000 3
657.72
07—Q1-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
rt. /0101J.;=.i 81:0i
DATE ISSUED
6 5:V8 °z
PERMIT NO.
*7..0:0',21-1:1
TOTAL