1982, 02-16 Permit: 82A-1002 Wood Stove PLAN NUMBERI APPLICATION/PERMIT PERMIT NUMBER
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J SPOKANE COUNTY - BUILDING CODES DEPARTMENT óA - i -
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 04 * * 20, 00
1. "S , 12-0 -7 tort 10 LEGAL DESCRIPTION - SEE ATTACHED * 2 G. 0 0
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LOT BLOCK SUBDIVISION ` PARCEL NUMBER/S } �.�f �� * 2 O O 0 Y
2. 6 h -'al-�i1k r) `�i�. --'r, L-r ,› 6
/J'�'\ Q OW PHONE A * 0, 00
3. ADDRESS ' 7L�K6 G6 7z8 _56 -P Actual Set Backs in Feet 00,
VQ �` "y North (South East (West
CONTRACTOR PH NE Size of Parcel Zane Classification 0 2•- 1 6-8 2
r4Scik le-,417-N 17 C-X)
4' ADDRESS ,�C,) �.�� I A t & Type Const. Occupancy Sprinklered z 6.4 7 9,
N m'(wl 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.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑ Ap'N. 0 RPL. ❑ MVE.
7, OF J 0 OTHER
WORK IDBLD. 0 PLMB. �J MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION R
DESSRIBE.�WORK Enum. Dist. Location (Area) '
8. �„ 0t,� ,��� FEES COLLECTED .
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
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 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 re.'lating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
Ille
DATE OF APPLICATION '`r/6 SIGNATURE OF APPL ,N !. -,r_. -/
, of _ Mech. 52-0
SPECIAL APPROVALS SPECIAL CONDITIONS: `'
NAME DATE Plan Check
Env. Health
SEPA
Planning
FireMobile Home W
Marshall
J
ii
Co. Engineer Other(Specify)
Utilities
TOTAL $ --
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
' / h n PERMIT IS NONTRANSFERABLE
Buil. •• c �;
EJ/ � PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATOES SUED—8 PERMITII D, 2 z *2 Q,F0Ta N