1981, 02-27 Permit: 81A-1889 Wood Stove J.LAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
ISPOKANE COUNTY - BUILDING CODES DEPARTMENT # '/4 j3"Z'1
e...) NORTH811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESSl CJ 4 * i 2 0 0
� i ,� LEGAL DESCRIPTION - SEE ATTACHED
fi,"61.4.I . , 0 0 vLOT BLOCK SI ISION PARCEL NUMBER/S
2. 9888x'
O NER PHONE P
�
ADDRESS J ) / ZIP
Actual Set Backs in Feet 6 (y 7 9
. ,4 r 0�}' .�`n.(.L.Yd� .,l�f fjui J,j��-¢- ,_ C`� / North 'South East (West
CONTRACTOR/ PHONE Size of Parcel Zone Classification
4. ,/f.a _-
ADpRESS ZIP Type Const. Occupancy Sprinklered
tel ?• 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.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW ❑ ALT. I❑ AD'N. ❑ RPL. 0 MVE. ❑ OTHER
�, OF 0 BLD. 0 PLMB. Iyr MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION
AOSCR_ WOR Enum. Dist. I Location (Area) 1
8. -11 ''_614-L.-C.
64-�J,-,,u�-1. et -i-— 41-61-014)-0-()-e- FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
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
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 Plumbing
DATE OF APPLICATION .2 —,2 7- F/ SIGNATURE OF APPLICANT - 6:%//tom_� $ .4., A,ech. 2.„,t-g—
SPECIAL APPROVALS SPECIAL CONDITIONS: /
NAME DATE )6' o Plan Check
Env. Health jJJJ,C 1 �' -/��
74,j. I -l�.s----e) SEPA o
Planning J
Fire Marshall nl,/,( l.Q
id Mobile Home
Co. Engineer
,2,..2 e--2-L-) . rr Other (Specify)
Utilities , -7 -,
•
TOTAL $ e<.,"--
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bu ding Tec ician PERMIT IS NONTRANSFERABLE 0 2 4,121 8"1 18 8.9 °z` *2'2:0 0 a F -
tr a..�1-z',41 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL