HomeMy WebLinkAbout1982, 10-08 Permit: 82A-9259 Wood StovePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY —.BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON %�SPONE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3•COPIES
1.
2.
3.
JOB ADDRESS
South 3819 Moffitt Road
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
OWNER
Steve Holding ,
PHONE
9a6 ogb1L
PARCEL NUMBER/S
ADDRESS
South 3819 Moffitt
ZIP
99206
Actual Set Backs in Feet
North ISouth `East 'West
4.
CONTRACTOR
Same
PHONE
Size of Parcel 1 Zone Classification
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
['Yes ❑No ❑ Req'd.
5.
DESIGNER
PHONE
Valuation lBuilding Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfln. Basement
TYPE 0 NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
7. OF yµyy
WORK BLD. 0 PLMB. AAMECH. 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 WOR`
B. nstallation of wood stove
Enum. Dist.
Location (Area)
VALUATION
SOURCE
OF
UTILITIES
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS���S�,r�
SIGNATURE OF APPLICANT""' —
DATE OF APPLICATION i044a
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
lid
n• Technician
r
FEES COLLECTED
Single $
Building
Plumbing
Mech. 20.00
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 20.00
PERMIT NUMBER
s2A -6125°1
04'* *2000
*2000
A *0..00
925.82
10-08-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE 1110,fiM $rc{812
41,11
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATEt ISSUED. '
92532 *213:002J -
PERMIT NO. TOTAL