1982, 11-04 Permit: 82B-605 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
LEGAL DESCRIPTION — SEE ATTACHED
JOB
622 Nora
Lor I --6C0
2.
,-OWNER
Bob- Levette–)
s Same
CONTRACTOR
a./ ,Ss rr—'i?M /4/C-43121 /2
4' ADDRESS
<73,— Z),/ u l$ i O ,J
ZIP
•SyS r Fir, S
PARCEL NUMBER/S
PHOry t- �
girra o i 7
Actual Set Backs in Fee
North
South (East West
Size of Parcel
Zone Classification
ZIP
77-2
Type Const
Occupancy
Sprinklered
❑Yes 0No 0 Req'd
DESIGNER
5. ADDRESS
PHONE
Valuation
Building Area in Sq. F
ZIP
Main Floor
Upper Floo
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basemen
Unfin. Basement
TYPE
7. OF
WORK
W 0 ALT. �0 AAD N. 0 RPL. 0 MVE.
0 BLD. 0 PLMB. SCJ MECH. 0 M.H. 0 POOL
0 OTHER
No. Bath
No. Storie
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Rapid.
DifikCRIBE WORK
VALUATION SOURCE GAS ELECTRIe WATER SEWER
/ az)OOF
UTILLITIES
Enum. Dist.
Location (Area)
Ownership
Public D Private 0
USE CODE
1 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 APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
o. Engineer
Utilities
Plans Examine
SEPA Checklist
ing Taisigan
SIGNATURE OF APPLICAPoha'v
SPECIAL CONDITIONS:
•
•
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ ?-o
PERMIT NUMBER
• 04* *20.00
*20.006
*000 0
6042
11-04-82
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11111:-13 41'812'
•
•
DATE ISSUED
60,'55 *20,002 _
PERMIT NO. TOTAL