1982, 01-14 Permit: 82A-276 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
LOT
2.
E .$s1Co Nova
SUBDIVISION
BLOCK
4 LEG4L DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
OWNER
3. 1�EU1rJ W1e-14awazy
ADDRESS
. X351 (0 1\30P—Pa
PHONE
c 4-6\40
ZIP _
QC 1 �o
Actual Set Backs in Feet
North 'South (East (West •
CONTRACTOR
4.
ADDRESS
C WlE
PHONE
Size of Parcel • - 1 Zone Classification
ZIP
' Type Const.
Occupancy
Sprinklered
Oyes ONo 0 Req'd.
DESIGNER
5. ADDRESS
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
Unfln. Basement
TYPE
7. OF
WORK
/NEW 0 ALT. 0 AD N. 0 RPL.' 0 MVE.
❑ BLD. 0 PLMB. krIMECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
R eq'd.
Recd.
Not Req'd.
DESCRIBE WORK
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
SEWER
Ownership
Public OPrivate 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
DATE OF APPLICATIO
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
9,,c2 r
O " SIGNATURE OF APPLICANT X 1.' LZ Q�+ CSR'
SPECIAL CONDITIONS: • �(
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing/�j
— Mech. ✓ 1 a.0 CID
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $FLO• Od'
PERMIT NUMBER
S lA —
04* *2000
* 2000 N.
* 20.006
A *0.00 'S
.27.52
01-14-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
oit1I .�
taitt7L8.2:
DATE ISSUED
1.
21.62 *2.Q100aP.—
PERMIT NO. TOTAL
0
0
U
J