1982, 11-01 Permit: 82B-0462 Wood StovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PUSS HARD TO MAKE 3 -COPIES
1.
2.
3.
JOB ADDRESS
N • 47az Lt v—tc.c_E.
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
OWNER
._BONN • 6 QLD c so of
PHONE
Az., -z4 -La
PARCEL NUMBER'S
ADDRESS
ff r 4:722-2_ 1—CA C.f. f -1—E.
ZIP
Gci'Zt 6
Actual Set Backs in Feet.
North 'South
East
'West
4.
CONTRACTOR
PHONE
Size of Parcel 1 Zone Classification
ADDRESS
aayvtE
ZIP
Type Const.
Occupancy
Sprinklered
❑Ves ❑No 0 Req'd.
5.
DESIGNER
PHONE '
Valuation - 1 Building Area In Sq. Ft.
ADDRESS •
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
CJ NEW ❑ ALT. �❑_,D N. 0 RPL. ❑ MVE.
0 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.
DESCRIBE WORK
8. U1CrDDs-v0Or
Enum. Dist.
Location (Area)
VALUATION
9.
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 constructi or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATIOa // 2 - S- Z
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklls
Bu l Id ng Technician
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech- 4 26 cti
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 2O.6e
PERMIT NUMBER
823 - o4‘,z
04*
A
*20.00
*2Q006
*0.00
4602
1 `101 -82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1,l1 Y 0li= 121 4 6 2
DATE ISSUED PERMIT NO.
*2'Q00aJ
TOTAL