1981, 10-13 Permit: 81B-0657 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
g ` '�1 'YV114
' LOT BLOCK (SUBDIVISION
2. 3 'l I FI .LE is
LEGAL DESCRIPTION - SEE ATTACHED
bhOml-tto iJ
PARCEL NUMBER/S
OWNER
3 .SACC �El�
ADDRESS
tStil 41Y- ECC_
CONTRACTOR
a SAYH E
ADDRESS
Sraynl;
PHONE
Gt7-4 —.8t S1
ZIP
QCtnt�
Actual Set Backs in Feet I
North (South East 'West
PHONE
Size of Parcel I Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes 0No 0 Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation
ZIP
(744CAC)
Main Floor
Building Area in Sq. Ft.
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfln, Basement
TYPE
7. OF
WORK
NEW 0 ALT. Et/MECH.
N. 0 RPL. 0 MVE.
f'BLD. 0 PLMB. Cf/MECH. 0 M.H. 0 POOL
0 OTHER
NO. Baths
NO_ Stories
No. Rooms -
No. of Dwellings
CERTIFICATE
of EXEMPTION
R eq:d.
Recd. '
Not Req'd.
DESCRIBE WORK
8.iii00oBURNLN4
VALUATION SOURCE
OF
9. UTILITIES
To:sC JWtW'5bs3 Cr? Cblt PvIN6-I - -
GAS ELECTRIC WATER 1 SEWER
Enum. Dist.
Location (Area)
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 INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Enginee
Utilities
Plans Examiner
SEPA Checklis
B Idin• Technician
Olt
I
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building `t 0.00
Plumbing
Mech. -7. co
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ - cat)
PERMIT NUMBER'
X313- 0CoS2
02* *1Q00
* 1000 I
* 10.006
A *000
6552
10-13-81
2 6479..
04*- *17.00
* 17.00 1
* 17,006
A *0.00 8
65.62 .f
10-13-31
6479. •r
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE 111611: ',81i`11 6'5.'7 z * 2 7. 0,a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL