1980, 10-13 Permit: 80B-1889 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
FOTOoSSK 7/.
VI51
2.
3Qz _
tcocc# divAct
AO RESS
P , .0866 2ft.ta to 04,,4pjleooa-4.44ce
CONTRACTOR
4.
5.
ADDRESS
DESIGNER
PHONE
9.24( --?-2i 7
LEGAL DESCRIPTION - SEE ATTACHED
ffA RC EL UMB E R/5
ZIP
99206
Actual Set Backs in Feet
North ISOuth
East
'West
PHONE
Size of Parcel Zone Classification
ZIP
PHONE
Type Const.
Occupancy
Sprinklered
Dyes ❑No ❑ Req'cl.
Valuation •j Building Area In Sq. Ft,
ADDRESS
ZIR
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE 0 NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
7. OF
0OTHER
WORK 0 BLD. 0 PLMB. i MECH. 0 M.H. 0 POOL '
ESCRIBE
B.((VAJN2 1A-pt-L4l, w(t.—_Kt
SOURCE /AS ELECTRIC SEWER
OF
9. UTILITIES
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req•d.
Re 'd.
Not Req'd.
Enum. Dist.
Location (Area)
Ownership
Public ❑Private ❑
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 /D—/ 3—RD
SIGNATURE OF APPLICANT X td'^"'a- cidhav
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utllilies
Plans Examiner
SEPA Checklist
13Z1ng ech "cion ctc,
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
7s
TOTAL $ 7�
M
PERMIT NUMBER
70L5—i889
04* *700
*7.010 tz
*7000
A *000 0 •
18888
10-13-80
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
70 01'118t;0( 1'88.90 *.7,002. -
DATE ISSUED
PERMIT NO, TOTAL
Y
a
O
U
—J
LL