1980, 11-13 Permit: 80B-3696 Wood StovePLAN NUMBER
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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. E,7%/o NoRA
LOT BLOCK SUBDIVISION
2.
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
s. StFY� HELN\
PHONE
¶z6—/807
PARCEL NUMBER/S
I
ADDRESS
t;, 7610 NORA
ZIP
49206
Actual Set Backs in Feet
North 'South lEast (West
CONTRACTOR
4.
ADDRESS
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
PHONE
Size of Parcel. 1 Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
Dyes DNo 0 Req'd.
6.
TYPE
7. OF
WORK
PHONE
Valuation I Building Area In Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
TO
Area of Decks
Finished Basement
Unfits. Basement
LT NEW 0 ALT. 0 AD N. '0 RPL. 0 MVE.
0 BLD. 0 PLMB. 17SI ECH. 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. Woof SAVE 1NflALLJ1-nQN.
VALUATION
GAS
9.
SOURCE
OF
UTILITIES
Enum. Dist.
Location (Area)
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
I hereby certify that 1 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
ir
DATE OF APPLICATION
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
S ECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
•
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
SOB — 36/6
04* *7.00
*700 r
*7006
A *doo 3
369.48
11-13-8,0
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
13;:18
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
316 PERMIT NO. 6'd
- 7;TOTALOF