1982, 09-07 Permit: 82A-7881 Wood StovePLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDEss
No. Stories
No. of Dwellings
` -thGAL DESCRIPTION — SEE ATTACHED
1.
❑ AD'N. ❑ RPL. ❑ MVE.
7, OF
LOT
❑ OTHER
K
❑ BLD.
PARCEL NUMBER/S
2.
CERTIFICATE
ISU13DIVISION
Recd.
Not Req'd.
WORK
OWNEjRE:)
of EXEMPTION
E
I
PHO E a
DESC IBE WORK
3
Enum. Dist.
I Location (Area)
FEES COLLECTED
ADD ESS
f7A P %,
Actual Set Backs in Feet
i
O
v
North South
East West
CONTRACT
R
HONE
Size of Parcel
Zone Classification
4' ADDRESS
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 I Area of Decks I Finished Basement Unfin. Basement
6.
VAL ATION SOUR E GAS ELECT IC WATER SEWER Ownership USE CODE
OF Public ❑ Private ❑
9. UTILITIES
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 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 1 / — SIGNATURE OF APPLIC Mech.
O 2
Ijl
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Co. Engineer
s Examiner
ui ch clan r PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
$
Mobile Home
Other (Specify)
TOTAL $ 1 C9
04* *20.00
*20006)
* ) co
P, r _ C, 0
78800
09-07—P2
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'!9'07 82 788.12
DATE ISSUED PERMIT NO.
*20.00a-fj-
TOTAL
C
C
C
C
k
7
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
❑ NEW
❑ALT.
❑ AD'N. ❑ RPL. ❑ MVE.
7, OF
❑ OTHER
❑ BLD.
❑ PLMB.
❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESC IBE WORK
Enum. Dist.
I Location (Area)
FEES COLLECTED
VAL ATION SOUR E GAS ELECT IC WATER SEWER Ownership USE CODE
OF Public ❑ Private ❑
9. UTILITIES
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 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 1 / — SIGNATURE OF APPLIC Mech.
O 2
Ijl
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Co. Engineer
s Examiner
ui ch clan r PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
$
Mobile Home
Other (Specify)
TOTAL $ 1 C9
04* *20.00
*20006)
* ) co
P, r _ C, 0
78800
09-07—P2
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'!9'07 82 788.12
DATE ISSUED PERMIT NO.
*20.00a-fj-
TOTAL
C
C
C
C
k
7