1979, 08-30 Permit: 79-3191 Wood Stove PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
C--)--. 19 — J.9t. (
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACE,—PRESS HARD TO MAKE 4 COPIES
JOB-D ia03 LEGAL DESCRIPTION — SEE ATTACHED 0 4 * * 7.0 0
1 �)LOT BLOCK SUBDIIVII ON
N PARCEL NUMBER/S *7.0 0
2op NER
PHONE *7.0 0 chi
3. V�o 1/) , u I '.Li'l-/),v5 A c�
* 0.00 0
ADDRESS ZIP Required Set Backs in Feet
/' North 'South East (West 3 1 9.0
CONTRACTOR P IO E Size of Parcel Zone Classification
4. `�i. /iC.13 PR-oc ,1
.ss ' _0668 08-30-79
ADDRESS Z1902,-? Type Const. Occupancy Sprinklered 6 4 7 9.
N1 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5.
ADDRESS ZIP DWL Area Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF OTHER
WORK ❑ BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL / CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
€,.....Q. SCRIB_5 WO7K ,( FEES COLLECTED
8. N.1 2V-4 f/e" E.,1d `r t-(-'o o d SY u('-
ALUATIODt.! Source GAS ELECTRIC WATER SEWER
a (�
lSo of
Utilities
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 st. .r local law regul t construction or the
performan • of co�sstruction. Plumbing
DATE 3o73 l
SIGNATURE= r r Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA cD
0
Planning c~.)
— w
Fire Marshall Mobile Home C.')
Z
Co. Engineer �f fy'
Othern(Specify) J
Utilities ✓,.1)0X.Slov� �_ tgl/�a�roo
TOTAL $ .-_
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist /J `, THIS BECOMES A PERMIT.
DATE 5o/(1OFFIC ,^-~'--g.-" _ 0 8 :3 0.:-7 9 31 9.1 5 * Z0 0 21---'
APP ED FOR ISSUANCE