1982, 09-01 Permit: 82A-7699 Wood StovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
L% APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 1. 51-7 Le7rA LEGAL DF_SrrdPTION - SEE ATTACHED
LOT I BLO K I bUBUIVISION IF PARCEL NUMBER/S
3.
OWNER iD ONE �
ADDRESS IP ' �
Actual Set Backs in Feet
e`er -7 NorthSouth East West
CO A T R PHONE Size of Parcel Zone Classification
4. ADDRESSF ZIP Type Const. Occupancy Sprinklered
[]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.
TYPE No. BNo. Stories No. Rooms No. of Dwelling
NEW ❑ALT. ❑ jD N. ❑ RPL. ❑ MVE. aths
7, OF ! E]OTHER
WORK 1:1BLD. ❑ PLMB. 0C MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. I Rec'd. Not Req'd
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 O 00 FEES COLLECTED
VALUATION I SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public E3 Private ❑ Single $
1 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 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 law regulating construction or the
performance of construction. SEE/ REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 0 / �7 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
iv. Health
Planning
Fire Marshall
Co. Engineer
utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
miran - PERMIT IS NONTRANSFERABLE
r
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
an Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
2 C, n
*2G .;)L
7c / �0-01 -^2
6.4 l 9.
TOTAL $~
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'9`01=8`2 769.�9z
DATE ISSUED PERMIT NO.
*20.00(OL �,
TOTAL
W