1982, 09-01 Permit: 82A-7736 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
1.72. s/3/23 C
LOT SUBDIVISION
BLOCK
2.
OWNER •
ael-y b moo-//
ADDRESS \
7 • Y • lice
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBF .IS
PHONE
9nn-4 9As—
ZI P
99-7 0
Actual Set Backs in Feet
North 'South • East
'West
CONTRACTOR
-t om , nLa
4. ADDRESS
`72•R3is—
P'H/ONE
7rPS./O/ 7
Size of Parcel
Zone Classification
ZIP
ds—
Type Const.
Occupancy
Sprinklered
Oyes ONo 0 Req'cl.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Lipper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
7.
TYPE
OF
WORK
�EW
0 BLD.
TO
Area of Decks
Finished Basement
Unfin. Basement
0 ALT. 0 AD N. 0 RPL. 0 MVE.
0 PLMB. TECH. 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 �-y
8. \c== < 94-r`u-L/
VALUATION
a -1/2;
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
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 OP APPLICATION /�S7 JJY SIGNATURE OF APPLICAN ONQ•
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning •
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bu ng Tec
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES GNE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
2 C'
TOTAL $ 2O
PERMIT NUMBER
321\ .7730
04* *2000
*2Q006
A *000
77358
'09-01-82
3 5479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
ip
77'3.41 *20.00
o
CL,Hi
PERMIT NO. TOTAL