1981, 10-09 Permit: 81B-500 Wood StovePLAN NUMBER
w
' APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1322 N tom_r- uDr
)AM I n c DAM LEGAL DESCRIPTION — SEE ATTACHED
LOT K
IS
2.
OWNER
3. LYL-J�- -T(+0
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
so N
PHONE
YzL{-�17bs
ADDRESS
ZIPP
Actual Set Backs in Feet
N+ 132-2— j -r --W AJ
/' zo
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type Co;Ttj
Occupancy
Sprinklered
❑Yes ❑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.
TYPE LJ,,�.._ 'NE�W ALT. AD'N. 1-1 RPL. El MVE.
❑❑
No. Baths
No. Stories
No. Rooms
No. of Dwelling
7, OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. RIMECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd. I
Rec'd.
Not Req'd
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
8. WOOD 5'TOV rm- W STALLA77pN(
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILOITIES
I I
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
Plumbing
s
_
DATE OF APPLICATION SIGNATURE OF APPLICANT
o0
ech. `CY
SPECIAL APPROVALS
SPECIAL CONDITIONS -
NAME DATE Plan Check
rlanning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
PERMIT NUMBER
BIB— 5o0
04* *17,00
*17.00
* 1 700
A *0.00
4 9. 9
10-09-81
z 6.479
Mobile Home
I SSNE 06
Other (Specify)
+ Cab
TOTAL $ 1
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1-01 0'�`-8'1` 5 a0 z
nATF ISSifpn PFRRAIT IAI()
11
*17-00a-1 -j
TnT01
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