1980, 01-25 Permit: 80-561 Wood Stove PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
P1i, io-sof
SPOKANE COUNTY — BUILDING CODES DEPARTMENT ! o 1 fr `
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE X24/(JU
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1. 0-1z E. R 1 c_i4 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3. .8013 CRT E. S i---c- cszz–446 Z
ADDRESS ks in
14,2.0 e. `i icr ZIPRequired
IG North lSouthred Set Baceet East 'West
CONTRACTOR PHONE Size of Parcel Zone Classification
SAME _
4. ADDRESS ZIP Type Const. Occupancy Sprinklered 7s 6
❑Yes ❑No ❑ Req'd. •7 a 0
DESIGNER PHONE Valuation Building Area in Sq. Ft.
7. OO
5. ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE
t$ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ;r ❑ OTHER
WORK CIBLD. CIPLMB. 15e MECH: ❑ M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK _
8. 1 l j u- a W D b i STS (_ FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. 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 presu e
to give authority to violate or cancel the provisions of any other state or local I re lating construction or e
performance of construction. AT ; Plumbing
DATE' /-2`-1—g0 SIGNATURE Mech. 1.00
SPECIAL APPROVALS SPECIAL CONDITIONS: _.
DEPT. REQ'D. REC'D. Plan Check
Env.Health
cr
SEPA U
Planning w
CL
Mobile Home r
Fire Marshall z
Co. Engineer Other (Specify)
Utilities
TOTAL $ —7•D0
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE, —
SEPA Checklist THIS BECOME§A PERMIT.
lL / Rr _ * / J U
�
Lvi"14,—P. `�C/ � /— F—Fd DATE I124180 OFFICIALgKf 3G'N
APPROVED ISSJNCE