1980, 09-15 Permit: 80B-0208 Wood StovePLAN NUMBER
•
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1.
JOB ADDRESS
1I S2o EFsr 014,baui// SeAAli 1-€24.
LEGAL DESCRIPTION — SEE ATTACHED
2.
3
4.
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
° 1/4L E / c1/o4
ADDRESS
J 3D £a�jr /14-SGJ 41/
CONTRACTOR
P4z,- 9/82
PHONE
ADDRESS
ZIP
5.
DESIGNER
PHONE
ADDRESS
ZIP
Required Set Backs in Feet
North 1 'South East (West
Size of Parcel Zone Classification
Type Const. Occupancy Sprinkleretl
❑Ves ❑No 0 Req'd.
Valuation Building Area in Sq. Ft.
DWL Area I Basement Area Garage Area Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
o AD N.
MECH:
❑ RPL.
❑ M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. ,ys74ct &GPOOtQ 6��, e Sn,let
VALUATION
9.
Source I GAS
of
Utilities
ELECTRIC
WATER
SEWER
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 constrrrution or the
performance of construction.cons
DATE /13/80 X SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
FOR ISSUANC
FEES COLLECTED
Single $
Building
Plumbing
e 011
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ —7, 80
PERMIT NUMBER
9- o/o&
0-4* *7.00
*7.0.0
*7.008
A *Q00
20,17�
09=15-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0,941r,1151'.7:80‘ - . '2, 0, 8'5 is, 7:0 0 21-2
O
uJ
LAJCO