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1980, 12-17 Permit: 80B-4957 Wood Stove PLAN NUMBER APPLICATION/PERMIT /� PERMIT NUMBER I SPOKANE COUNTY — BUILDING CODES DEPARTMENT 1'/ gds — 7 / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 \���// APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 0 4 * * 7.0 0 JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED 1. E• 120Q-1 1�S2.Tv�r�N� Pm> * 7.0 G LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. * 7.006 OWNER PHONE .,c -r w IIS uTE+a-. azz z.8©c A * 0.00 3 ADDRESS ZIP Actual Set Backs in Feet 1)9 5.6 • tz.cf —? >p f t l...s.v 3( AV6. cA41-zoa North (SouthEast (West 1 2— 1 7—8 0 CONTRACTOR PHONE Size of Parcel Zone Classification 4. 5 ii-Nvvas A 6.479. ADDRESS ZIP Type Const. Occupancy Sprinklered hgrviC Oyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _ CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. TYPE / No. Baths No. Stories No. Rooms No. of Dwellings lX NEW 0 ALT. ❑ AD'N. 0 RPL. 0 MVE. 7. OF .� / ❑ OTHER - WORK LJ BLD. 0 PLMB. I�7 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCP'BE WORK Enum. Dist. I Location (Area) r FEES COLLECTED 8. oADBuR.14 W C1I vE I VALUATION SOURCE GAS ELECTRIC WATER SEWERUSE CODE Ownership OF 9. UTILITIES Public ❑Private 0 Single $ 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 Building 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 Plumbing DATE OF APPLICATION /a - /?- 9 © SIGNATURE OF APPLICANT_ ;,t 4 Mech. 41•G_ef:$ SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health SEPA a Planning O _ C.) Fire Marshall Mobile Home J Cr. Co. Engineer . Other(Specify) Utilities TOTAL $ • Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. B ilding Technician PERMIT IS NONTRANSFERABLE 1 2;,,•'�' 7.-18 D, 4 9 5 7 z' * Q �.H S' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL