1980, 10-14 Permit: 80B-1878 Wood StovePLAN NUMBER
C.)
1 a�t���o 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 A DRESS
1. • Iv A3
LO BLOCK SUB IVISI6
2. ST A.06111.01\1
ON
3.
NER
Ah
0
LEGAL DESCRIPTION — SEE ATTACHED
E-1359
PARCELNUMBER/S 175,4_2._ 1006:3 O^:3
ADDRESS
1023 L,oGJt r
Actual Set Backs In Feet
North Io ISouth
East 50 West
4.
CONTRAcpr ler
PHONE
Zone Cla
Size of Parcel '
ADDRESS
ZIP
4 x 31(
pe Const. Occupancy
Class] Ica
caion f��
Sprinklered
DYes DNo 0 Real.
5,
DESIGNER
PHONE
Valuation Building Area in Sq. Ft.
0000,
ADDRESS
ZIP
Main Floor
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
'6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
lidVIEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
CJ BLD. 0 PLMB. L7/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.
DESC IBE WORK
8. 010 CA *� Hike o
VALUATION SOURCE GAS E ECTRIC
OF
9. 0Q UTILITIES
Cff1 M
SEWER
WATER
Enum. Dist.
Location (Area)
Ownership
Public 0 Private Ef
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
DATE OF APPLICATIO01/340 SIGNATUREOFAPPLICA�
SPECIAL NAMEAPPROV DATE SP6�NL CONDITIONS: r-odidt! „'/ v1,c c i t- V I KilcIC - 1.04?
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bui n Te
clan r
1jkTci- na Ntrielfro,
n
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
IC.oe
Building
Plumbing
7.00
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ I I 7
.
Pl RL4IT NUMBER
Sat? L97t
02+ *1000
*100,0 to
1896g
1 0-1 480
2 6479,
01* *(.00
*70,0
189,7.2
10=1/V-80
2 6479.1
N
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
210)rlli41148i01 189.9 ' *1.7,002 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL