1982, 10-25 Permit: 82B-0108 Wood StovePLAN NUMBER
. APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3•COPIES
1.
2.
3
JOB ADDRESS
E. 13614 Main Avenue
LEGAL D'$CRIPTION — SEE ATTACHED
LOT
OWNER
BLOCK
3
SUBDIVISION
A0/fel
Robert Barbero
PHONE
928-6487
PARCEL NUMBER/S
ADDRESS
Same
19216
Actual Set Backs in Feet
North (South
East
(West
CONTRACTOR f I
a z-t&lldcl,.by °wrier
ADDRESS
PHONE
Size of Parcel Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
Oyes ONo 0 Rebid.
5.
DESIGNER
PHONE
Valuation I Building Area in Sq. Ft.
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
ZIP
Main Floor
Upper Floors 1 Garage Area •
Storage
TO
ErliEW 0 ALT- r0 AD N. 0 RPL. 0 MVE.
W
0 BLD. 0 PLMB. MECH. 0 M.H. 0 POOL
• Area of Decks
Finished Basement
Unfln. Basement
0 OTHER
- No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
R eq'd.
Recd.
Not Req'd.
DESCRIBE WORK
8.
Wood Stove Insert
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 construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION f` /O/Aa/SS.?- SIGNATURE OF APPLICANT/`
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
g
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech. 20 00
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 20.00
PERMIT NUMBER
!J% E3 —0105
04* *20.00
*20.00
A *000
10.7g .
10-25-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. -
1iV7:1215"7P! 1 0:8 5 *2Q0.0.2�
DATE ISSUED r, ) PERMIT NO. TOTAL