1982, 10-06 Permit: 82A-9158 Wood Stove, ChimneyLAN NUMBER APPLICAT N/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
��E,Nacz.A LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOZ76DIVI510N PARCEL NUMBER/S
2.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
n PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify) yy�� ,�
TOTAL $
PERMIT NUMBER
5Z PC- Cl I -so
aG-* *21( 00
*I C00
*4C00�
A
9 1 5' 7
1D-06-82
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1' 0 '0' 6 ' 8 2' 915.8 z
DATE ISSUED PERMIT NO.
*40.00°
TOTAL
PHONE
SOWNER
3 +i&-LALAA, M
—)A
Z �'J�'3 '— Uq`�?s
DRESS
ArDDN�
ZIP
Actual Set Backs in Feet
G • I'].G7 I-) ��`O4.
ZI
�';Ll(0
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
"Z. "6A^45'
I
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor I Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE 01 EW ❑ALT. ❑ D'N. ❑ RPL. ❑ MVE.
7, OF � ❑ OTHER
_f
LTJ BLD. ❑ PLMB. �J MECH. ❑ M.H. POOL .
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8 (A ( (rr I�d� F%� ��/ C (0%A)G
VALUATION
SOURCE
GAS
ELECTRIC7
WATER
SEWER
Ownership
CODE
9.
OF
UTILITIES
Public ❑Private ❑
TUSE
Single $
1 hereby certify that I have read and examined this application and have read the
"NOTICE" provisions included
421c>.C)o
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
Building
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 aw regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTI
Plumbing
rIATC (1C ADDI 1r'Ar1nK1 to It,
I-P
1 �l . clrnlArl IOC (1C ADDI 1! AKIT
/S� 2�/�(�/j
hIIft PJ / 14-10'— Mech. O
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
n PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify) yy�� ,�
TOTAL $
PERMIT NUMBER
5Z PC- Cl I -so
aG-* *21( 00
*I C00
*4C00�
A
9 1 5' 7
1D-06-82
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1' 0 '0' 6 ' 8 2' 915.8 z
DATE ISSUED PERMIT NO.
*40.00°
TOTAL