1981, 10-14 Permit: 81B-0672 Wood StovePLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT M1 ia' _ 06
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
Zone Classification
S4rne
LEGAL DESCRIPTION -SEE ATTACHED
'���2 LGr�
PARC_F�L EiER/S
LOT
BLOCK
2.
I
ISUBDIVISION
Type Const.
Occupancy
OWNER
PHONE
3.
❑Yes ❑No ❑ Req'd.
ADDRESS
PHONE
ZIP
Actual Set Backs in Feet
V_ 12fd�')_
LEi�I(�ZW
QQ��Co
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
S4rne
4'
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
rAG
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF^/ 11OTHER
E) BLD. 1:1PLMB. DLJ MECH. ElM.H. 1:1 POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILOITIES
Public ❑ Private ❑
Single $
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
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
Ild
DATE OF APPLICATION SIGNATURE OF APPLICAN Mech.,�zj
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
neer
es
Plans Examiner
SEPA Checklist
Buildinq Technician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 1-7
04* *17,00
l.0l
* 1 7.000
A * 0 0 '?
66,9.E
10-14-81
6479.
02* * 1 0.00
*1000 1
*1000Y
A * li:; G 0
671
10!14-r1
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
t
DATE ISSUED PERMIT NO.
*2700x0-
TOTAL