HomeMy WebLinkAbout1983, 10-26 Permit: 83B-943 Wood StovePLAN NUMBER
APPLIICATION /PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
LOT I BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNS
P ONE
PHONE
3.
MAIL9 ADDR SSpp Q -Actual
G
2-0G1
Set Backs in Feet to:
G7 v
North South East
West
CONTRACTOR
LICENSE EXPIRES
6HONE
Size of Parcel
Zone Classification
Residential El
4
Commercial
ADDRESS
ZIP!t!f:1
Occupancy
Sprinklered
El Yes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE NEW El ALT. El AD' N. El RPL.
E-1 MVE.
7
OF
❑OTHER
WORK ❑BLD. 11 PLMB. ;?/MECH. El M.H.
❑ POOL
Certifi. of Exempt.
Required
Yes El No L-1
Number
or Variance
Received
Yes 11 NoF-
8•
DESCRIE WO }�
L :%��
Shorelines/ Flood Hazard
Plans Required Ll
IJV
Yes El Not Applic. ❑
Received ❑
VALUATION ISOOUFRCE
GAS
ELECTRIC
PUBLTT IC ❑
SEPT C ❑
Ownership
FEES COLLECTED
9•
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private ❑
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 au-
Building
thority 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 INSP CTIONS
Plumbing
SIGNATURE OF
APPLICATIO
OR AGENT
ia�OWNER
DATE —
Mech.
SPECIAL APPROVALS I SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Prevent.
Engineer
Utilities
SEPA
Plans PERMIT IS NONTRANSFERABLE
Exam, PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building jiJ IN 180 DAYS
Tech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
PERMIT NUMBER
TOTAL $ 2-0 ^ I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. z
DATE ISSUED PERMIT N9.4 3 z
* 2 0.0 0 Otd,iAL