1981, 11-25 Permit: 81B-2163 Wood StovePLAN NUMBER
2
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
2.
BLOC
F
K SUB I5TON
LEGAL DESCRIPTION - SEE ATTACHED
^
PARCEL NUMBER/S
OWNER
3. 7i a.J Rot3;se_v,
ADDRESS
12LAo b
PHONE
Q7-��GtS
ZIP
«Q? r -,C
Actual Set Backs In Feet
North (South East (West
CONTRACTOR
4. �Awt6
ADDRESS
S4YI.LG
PHONE
Size of Parcel 1 Zone Classificatl on
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation I 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
<EW 0 ALT. V.-MECH.
N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. tH MECH. ❑ M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. (.vc 0.1v :h, (.
VALUATION
9.
SOURCE
OF
UTILITIES
Enum. Dist.
Sr.= ,s
Location (Area)
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. SEE1{REVERSE SIDE FOR REQUIRED INSPECTIONS //J�_
DATE OF APPLICATION/1' 11 J2 T 4 (E I SIGNATURE OF APPLICAN-arta
..
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
iv nen-sex
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech. 1— ,(Cfa
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 17,
PERMIT NUMBER
S13-2'&3
04* *17.00.
*17.00
*17,006
A *0.00
2162
1,1 -25-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
ITV
21:6'35 *17.00,g�
PERMIT NO. TOTAL