1982, 04-08 Permit: 82A-2646 Wood Stove PLAN NUMBER APPLICATION/PERMIT �yy PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT !�� 8L —2G
0.1
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS C 4 * * ` '" C.,
1. S. 31 I) 1ZAIlvtoNu G11e-CLE_ _ LEnAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/5
2. ;t r.. r., 0 i
OWNER PHONE
3. A.A. MooiF_ R2Y-II6'I-
ADDRESS ZIPQ Actual Set Backs in Feet T o 4
S- 3111 iZAY/'lON ..c,1
i Ct -E_ ` 'I2.o G North 'SouthEast 'West
CONTRACTOR PHONE Size of Parcel Zone Classification is '-' — U};— C
4' I
ADDRESS ZIP Type Const. Occupancy Sprinklered
Dyes ❑No 0 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.
�� No. Baths No. Stories No. Rooms No. of Dwellings
TYPE l3 NEW El ALT. 0 AD'N. 0 RPL. ❑ MVE.
7, OF ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. 0 PLMB. LWMECH. 0 M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK r Enum. Dist. I Location (Area) '
FEES COLLECTED
8. U)ooD STOVE. 1i iS-TILL_A-TicN I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private ❑
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
�/ yy�� Mech.
DATE OF APPLICATION 7 zi_��-�.", SIGNATURE OF APPLICANT �`' �� �' =--�""
esO
SPECIAL APPROVAL /SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
a_
Planning 0U
Mobile Home "4
Fire Marshall
L1
CD
Co. Engineer Other(Specify) /U T
Utilities 00
TOTAL $ ZO Zo
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 0.4 '0 8.,i-8,,2:,2: 2 6 It 6.Z *2 0.0 0 a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL