1983, 05-02 Permit: 83A-3530 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY —1BUILbING CODES DEPARTMENT - 53
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB AI 1'
�, -� 1, ': _s /+ 1 LEGAL DESCRIPTION - SEE ATTACHED
1 LOT =L• K SUBD •I ON 1'� T, PARCEL NUMBER/S
2.
OWN R ��� . i gwYJt E zi T.T
• Au•R ria. ZIP Actual Set Backs in Feet
'.'.._:: I. ` ly w gm , 1 North (South East (West
CONTRACTOR • P ONE Size of Parcel Zone Classification * 2 0.0 0 U
•i(cor � QF . II
R
4. A DR SS - j Type Const. Occupancy Sprinklered * J
� Dyes ❑No D Req'd. 3 5 L.9 z
DESIGNER PHONE Valuation Building Area in Sq. Ft.
0 5- L 2�8 3
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -7 9
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE �/ No. Baths No. Stories No. Rooms No. of Dwellings
19."---
Q NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF �^ ❑ OTHER
WORK a BLD. 0 PLMB. �7 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORI1MFKcc �� Enum.Dist. Location (Area)
8. 4 1 Ac A�� l Wcc J i FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 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
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 p Plumbing
DATE OF APPLICATION 4 ( ._9t (4<#3 SIGNATURE OF APPLICANT,. - veg. i . I_',5jai.! 5 , Mech. ...7.--.100
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
>-
SEPA ,-_
i
Planning u
- to
Mobile Home
Fire Marshall ,,
Co. Engineer Other(Specify)
Utilities
TOTAL $ �Q e
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE 5l 2 -$ 3 3 53 0 5 *2 0. 0'0 a F —
ED C PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL