1985, 12-31 Permit: 00009268 WoodstoveS|GNATUREOF
OWNER ORAGENT
i ADDRESS:
MECHANICAL PERM11'
MECHANICAL
1777" 6 MARDLE
01,
TOTAL FEE $2V08
APPL/ Dry 0
Range
07"VAT/CHIMNEY SWIFT
8 Solid
Fuel 01 Fee 10.00
FUEL SOURCE�
Elec�ric
N C�s N Oil N Coal N
CITY:
PPOKANE WA
MI,
91202
DISTRIBUTION;
Forced
Air N Radiant Y Heat
Pump N
Processing
Fee 10.08
PARCEL*:
TR:
INS *CTOR:
044421906;
IMNSUS
J999
FINAL
61714400 jLOTSjIrCK
FEES:
AID SIT: - ICA
ICS
INC
WOOD GTUV[��
USE OF PERMIT;
APPL|CATON
12-31-15 77°05 *2~0Duu
MECHANICAL PERM11'
MECHANICAL
TOTAL FEE $2V08
APPL/ Dry 0
Range
& Cas Log 0 Cas W/H
8 Solid
Fuel 01 Fee 10.00
FUEL SOURCE�
Elec�ric
N C�s N Oil N Coal N
Wood Y
Solar N
DISTRIBUTION;
Forced
Air N Radiant Y Heat
Pump N
Processing
Fee 10.08
FEES:
AID SIT: - ICA
ICS
INC
12-31-15 77°05 *2~0Duu
MECHANICAL PERM11'
MECHANICAL
TOTAL FEE $2V08
APPL/ Dry 0
Range
& Cas Log 0 Cas W/H
8 Solid
Fuel 01 Fee 10.00
FUEL SOURCE�
Elec�ric
N C�s N Oil N Coal N
Wood Y
Solar N
DISTRIBUTION;
Forced
Air N Radiant Y Heat
Pump N
Processing
Fee 10.08
12-31-15 77°05 *2~0Duu
PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION -SEE ATTACHED
LOTB B PARCEL NUMBER/S
2. G rnY60rj 1
OWNED,
3. �-Z
ADDRESS
S'. S6 r
I _ ` IE
Actual Set Backs in Feet
i�l/7YP- North South East
CON RACT R
PHONE
Size of Parcel
Zone Classification
Wi
S8'7YI(
4.
ADDRESS
P
Type Const.
Occupancy
Sprinklered
6.(1(20_Z—
❑Yes []No ❑ Req'd.
DESIGNER
PRONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Un in. Baseme
s.
No. Baths
No. Stories
No. Rooms
No. of Dwel
TYPE ❑ NEW ❑ ALT. ❑l AD'N. ❑ RPL. ❑ MVE.
7. OF
1:1 BLD. I–]PLMB. I�MECH. ElM.H. 1:1 POOL OTHER
CERTIFICATE
Req'd.
Recd.
Not R,
WORK
of EXEMPTION
gESCRIBE WORK
8 ill u �L�
✓�
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILOITIES
Public 11 Private ❑
ngle $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions in:[uilding
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governi
type of work will be complied with whether specified herein or not. The granting of a permit does not pr
to give authority to violate or cancel the provisions of any other state or local law regulating construction
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPEC S
umbing
l - 6-iS5
lIATC nC AOOI 1/.ATIllf.l � � 0I!_111ATI IOC nC AOOI 1/^A AIT /
arh
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
Iding Techn
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT
nNJ_U/M��B+ER
1 "' "�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.