1982, 09-20 Permit: 82A-8425 Wood Stove(PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
2.
JOB ADDRESS
77 I v"LOT BLL�CKTUBIletl092
7
LEGAL DESCRIPTION - SEE ATTACHED
3.
4.
G_lEN ►1IUL-t - -
HONE
• 474-5
PARCEL NUMBER/S
ADDRESS
5- 17( ^' 114 a\9
COO
ZIP}
}VON;
Actual Set Backs in Feet
North 'South East 'West
Size of Parcel I Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation (Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
re W
0 BLD.
❑ ALT. 0 AD N. 0 RPL. 0 MVE.
❑ PLMB. /MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Reed.
Not Req'o.
DESCRIBE WORK
8. L pt>? �orif'i
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 INSPECT'!.^Fl
DATE OF APPLICATION � -- 2— - �5 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examine
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
.c
FEES COLLECTED
Single $
Building
Plumbing
-
Mech. Z69
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
Ot-9i42r7
02* *2000
*20008
A *000
84248
09-20'-82
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
•
O'91772'0i,8t2i
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
8'42''55 *2'O,O0 -
PERMIT NO. TOTAL