1980, 12-18 Permit: 80B-5059 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
JOB ADDRESS
LOT BYO � SURD VISIIOrNSFIF-Lj7
2.
LEGALDESCRIPTION - SEE ATTACHED
PARCEL NUMBER/5
OWNER
g. PA Ni pUc-0//4 kN
ADDRESS
860-7 F-. M&MsFIELD
PHONE
9z4-'fz 35
ZIP
99 2.06
Actual Set Backs in Feet I -
North — !Soulr East 'West
CONTRACTOR
4. SINNA
ADDRESS
PHONE
Size of Parcel Zone Classification
ZIP
Type Const.
Occupancy Sprinklered
Oyes ENO 0 Req'd.
DESIGNER
5' ADDRESS
PHONE
ZIP
Building Area In Sq. Ft.
Main Floor 1 Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin: Basement
TYPE lareNEW
7. OF
WORK 0 BLD.
O ALT. 0� �AD N. 0 RPL. 0 MVE.
❑ PLMB. LTMECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No: Rooms .
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
B' WOOD57oVE. IWSIA- JkTiot'E
N
Enum. Dist.
location (Area)
VALUATIO SOURCE GAS ELECTRIC
9. thCCe4 UTILITIES
OF
WATER
SEWER
Ownership
Public 0 Private
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 constru tion or the
performance of construction. SE,E.REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
« ) ga
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Plans Examiner
SEPA Check
B
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building •
Plumbing
Up
'fte� % XX
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
M
PERMIT NUMBER
Bos-So37
04* *7,00
*7.0,0
505.82 •
12-18-80
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1;1''211%1 B:fil'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
510' *7,.00
PERMIT NO. TOTAL