1980, 03-20 Permit: 80-2489 Wood Stove PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT bio— z4F`I
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE —1--2--.0 —�!)
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
: L * * 7. 00
JOB ADDRESS
"‘.2.-t4
� LEGAL DESCRIPTION — SEE ATTACHED * 7,0 0 s
1 L � BLOC SU DI I ION1FtdT PARCEL NUMBER/S _ L 3 8 E
2.
OW,l/�py(��E R 7//PH^O'�N[E 0 3 6 7
- 2 0-8 0
3. ADDRESS �, " . ZIP _� � Required Set Backs in Feet 49,
y/, 2,�,y� Q � �
��'��_ g9.2..4 , North !South East (West
CO TRACT R 777"""" PHONE Size of Parcel Zone Classification
4. -544/12
ADC RESS ZIP Type Const. Occupancy Sprinklered
t.. .2/ Lives CI No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER -
WORK ElBLD. 1=1PLMB. illil MECH: CIM.H. CIPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
D SCRIBE WORK
8 � /1)444
.�'�
� -14&f,tqA
TAFEES 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 presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. Plumbing
DATE 3 — —Prd SIGNATURE Mech. 7'eQ
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
r
SEPA o
F--
U
Planning ..- Lt./
0_
Fire Marshall Mobile Home co
Co. Engineer Other (Specify)
Utilities
TOTAL $ I
Zone Clearance
^WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist S- j_S-Q THIS BECOMES A PERMIT. O
cA 0, —.20 —,.8'0, 48. 92 * 7,00,n_ i-
Y ...-1 DATE OFFICIAL
APPROVED FOR ISSUANCE -