1980, 05-01 Permit: 80-4216 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
' C[.7LOT BLOCK
2.OW //;E//}1 �r��0 j
3, ctrzfx..t%ce/ q J,an4(% A€A-a t
PADDRESS Krj ,v1�t Ftp
O gYTRADCTDR�"'�7-'l YJ'p -etn f e/
4. .4 iN4l�,
A9DRESS
DESIGNER
DESIGNER
5. ADDRESS
S DI SION
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/5
PHONE
9,24' —.2Seg
.ZIP
g9zoe.
Actual Set Backs in Feet -
North (South
East
'West
PHONE
Size of Parcel 1 Zone Classif icatlon
ZIP
Type Const.
Occupancy
Sprinklered
Dyes ❑No 0 Req'd.
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
Unf in. Basement
TYPE
7- OF
WORK
❑ NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
❑ BLD. 0 PLMB.I 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.
D CRIBE W RK—}—
8. Lr,Lii
VALUATION
9.
SOURCE
OF
UTILITIES
LLi--4-0-a Aiai litLlhf CSi Q
AS �E
ELECTRIC
WA R
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 ��//
SIGNATURE OF APPLICANT OO1c4Q '. �% �j•L�
SPECIAL CONDITIONS:
DATE OF APPLICATION S—i - 0
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklis
BWtlin9 Tec Iciagry�l�
PERMIT IS NONTRANSFERABLE •
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
e.gMech. 7S
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL si7 GD
PERMIT NUMBER
36-4102a,
04* *7.00
*7.00 N
421.52
05-01-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
42.162
PERMIT NO.
-
itZ0,0aP
TOTAL