1981, 12-29 Permit: 81B-3034 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. e5 -3t (o N GPA
LOT SUBDIVISION
2.
BLOCK
LEGAL DESCRIPTION - SEE ATTACHED •
OWNER
010,03
ADDRESS `t'
F
E. 83t co •r olt,
C. 10E.
PHONE
Gf24-3-7ae
PARCEL NUMBER/5
ZIP
c?C1'2p 6
4.
5.
CONTRACTOR
C; AM1'vitc,
ADDRESS
DESIGNER
PHONE
ZIP
PHONE
ADDRESS
ZIP
Actual Set Backs in Feet
North 'South East 'West
Size of Parcel Zone Classification
Type Const. • Occupancy Sprinklered
❑Ves ❑No ❑ Req'd.
Valuation Building Area in Sq. Ft.
Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
dNEW ❑ ALT. ❑,AD N. 0 RPL. 0 MVE.
0 BLDG ❑ PLMB. LrJ MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
B. LDOrDne,ctn.ra1NG
VALUATION yOURCE GAS
OF
9. UTILITIES
5--c,
ELECTRIC
WATER
SEWER
Enum. Dist.
Location (Area)
!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
EEjSIIIDE FOR REQUIRED INSPECTIONS
�'�
DATE OF APPLICATION/.2 — 2. 9- �2j'/� SIGNATURE OF APPLICANT /K/w..ic.e7
SPECIAL APPROVALS
NAME GATE
Env. Health
Planning
FI re -Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
• B Ing Technician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing g,1�
Mech. `` 17.C3
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ I% °ce
rn
PERMIT NUMBER
818-503c+
04* *17.00
*17.00 to
*17.008
A *000 0
30332 '
12-29-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1
1214 9 4,8111 3.03.
41
5
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
*11'7 0'0
PERMIT NO. TOTAL
0-
0
O
U
-1