1982, 09-13 Permit: 82A-8112 WoodstovePLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
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
t. N. 1024 Pierce Road LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVISION I PARCEL NUMBER/S
OWNER
PHONE
L. J. Hurbon
926-7845
3
ADDRESSSame
x,17206
�j�j V
Actual Set Backs in Feet
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
Same
a
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
[--]yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper
Floors I
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
Baths No. Stories
No. Rooms
No. of Dwelling
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 OF 11 OTHER
❑ BLD. 1:1PLMB. Ik MECH. ElM.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
8. Wood Stove
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9,
OF
UTILITIES
I
I
Public El Private 1:1
Single $
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
Building
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
Plumbing
r~
20.00
DATE OF APPLICATION /` SIGNATURE OF APPLICANT �`
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
nv. Hez
anning
ire Mar
ngineer
ns Examiner
B n Technician PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
04* *20.00
*2000
A *0 0
81 1.1
09-13-82
o
6,479.
Mobile Home
Other (Specify)
TOTAL $ 20.00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09-13-82
81.1.22 *20.000�