1982, 10-08 Permit: 82A-9295 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
1. o 7 /1% •
LO
2.
BLOCK SUBDI
Amield
3
4.
OWNER
J� rig ES ,... o tee-in
ADORES$
�� j22e U/ ewq
CONTRACTOR
L • i3uecc,h
PHONE
967&--1 rg9
ZIP
99.2rb
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South [East 'West
PHONE
SAME
Size of Parcel 1 Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
DESIGNER
6. ADDRESS
PHONE
Valuation, I Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
dNEW
0 BLD.
❑ ALT. 0 AD N. 0 RPL. 0 MVE.
❑ PLMB. d MECH. 0 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. WOQ/0 STD VE /N� %i�L 4-fl-TiOs✓
VALUATION' SOURCE GAS ELECTRIC WATER
OF
9. UTILITIES
Enum. Dist.
Location (Area)
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 INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLICA
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
PERMIT IS NONTRANSFERABLE
ZOr
Plan Check
SEPA
Mobile Home
Other (Specify/
TOTAL
$ Zo
PERMIT NUMBER
gzA`` 2y5
04* *20.00
929.42
10-08-82
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'0 7i0;afa'B;2,
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
9;2:9,:52 *2a11 _
PERMIT NO. TOTAL