1980, 10-22 Permit: 80B-2478 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
1.
2.
3.
4.
JOB ADDRESS
1,1 507 L'061 -
LOT
BLOCK
LEGAL DESCRIPTION - SEE ATTACHED
SUBDIVISION
ATAs 8 LocLJ9- I I -s
CONTRA TO
Jq-I tS PI r -k v,5
1Z-03
PHONE
ADDRESS
ZIP
PARCELNUMBER/S v
9-6285
5.
DESIGNER
PHONE
ADDRESS
ZIP
Actual Set Backs In Feet
North !South East 'West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinklered
❑Yes DNo 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
Unf in. Basement
L7 NEW 0 ALT. 0 Ala N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. re MECH. 0 M.H. 0 POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRI E WORK
8. - CMN/
VALUATION
9.
Enum. Dist.
Location (Area)
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'INSPECTIONS
FEES COLLECTED
Single $
Building
/// Plumbing
I/' -. I / Me .
DATE OF APPLICATIOa SIGNATURE OF APPLICA
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklis
towalial
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
7,00
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
M
PERMIT NUMBER
X30$• 2i'-78
' 04*
*7.00
*7.00 V)
247.72
10=22-80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
!la -0; r242l�Bi01 214;7.86 A7.Q0
DATE ISSUED PERMIT NO. TOTAL